Thyroid abscess from group B Salmonella: Role of ultrasound in diagnosis and treatment

E. Brunetti, A. Marangio, D. Scevola, C. Filice

Research output: Contribution to journalArticlepeer-review

Abstract

An 82 year old male with goiter presented with fever, dysphagia and a large swelling in right side of the neck. Ultrasound (US) showed a thyroid abscess; US-guided aspiration was performed and culture of the pus yielded group B Salmonella. After antibiotic treatment, the abscess was cured and a repeat aspiration resulted negative. Infection from Salmonella is very rare in the thyroid and favored by compromised cellular immunity and structural alterations of the gland. US is the best method - in terms of safety and diagnostic yield -to determine the location of the infection and the structural abnormalities of the gland and surrounding tissues. US allows - with minimal invasivity - biopsy for histological examination, culture, drainage of lesions and monitoring the level of antibiotic inside the collection. Ultrasound guided percutaneous drainage can often replace surgery and all its attendant problems.

Original languageEnglish
JournalUltrasound in Medicine and Biology
Volume26
Issue numberSUPPL. 2
Publication statusPublished - 2000

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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