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.
|Journal||Ultrasound in Medicine and Biology|
|Issue number||SUPPL. 2|
|Publication status||Published - 2000|
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging