Case report: atypical presentation of suppurative thyroiditis in an immunocompetent patient with vascular involvement (Lemierre's syndrome)
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supperative thyroiditis

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Rojas, W., Tovar, H., Vargas, J. J., & Tous, R. (2019). Case report: atypical presentation of suppurative thyroiditis in an immunocompetent patient with vascular involvement (Lemierre’s syndrome). Revista Colombiana De Endocrinología, Diabetes &Amp; Metabolismo, 6(3), 218–227.


The pathology of the thyroid gland, in its highest percentage, is constituted by thyroiditis, a wide range of diseases of different etiology (infectious, autoimmune or of unknown occurrence) and duration (acute, subacute or chronic). From the physiological point of view, they can vary in their presentation, causing hypothyroidism or thyrotoxicosis, or not altering the functioning of thyroid hormones.

Acute suppurative thyroiditis has a mainly infectious cause. It is an unusual condition, since the normal thyroid is particularly resistant to infections due to its extensive venous and lymphatic drainage, in addition to its high iodine content and the presence of a fibrous capsule, which serves as a shield against harmful external agents. Thyroid infections represent approximately 0.7% of all surgical pathologies in relation to this gland (1-3) and are more frequent in an abnormal thyroid gland. Despite the strangeness of this condition, it is important to know what its presentation is and its association in immunocompetent patients such as the vascular extension present in Lemierre’s syndrome, which this patient presented.

The objective of this report is to present a clinical case of a patient who had an episode of infectious thyroiditis, its management and the different causes of thyroiditis. An updated review of the topic and the different treatment options was carried out. This case was handled quickly with corticosteroids and antibiotics, as well as surgical drainage.

The patient recovered responding satisfactorily to the surgical and pharmacological management established. It is concluded that the treatment carried out was successful.
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