Salmonella brandenburg: a novel cause of acute suppurative thyroiditis

A patient with suppurative thyroiditis due to infection with Salmonella brandenburg is reported. Localization of the infection occurred to a pre-existing thyroid nodule after Salmonella bacteremia. S. brandenburg was isolated in pure culture from the fluid obtained by needle aspiration of the suppur...

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Published inActa endocrinologica (Copenhagen) Vol. 128; no. 5; pp. 439 - 442
Main Authors Chiovato, L, Canale, G, Maccherini, D, Falcone, V, Pacini, F, Pinchera, A
Format Journal Article
LanguageEnglish
Published Denmark 01.05.1993
Subjects
Adult
Ceftriaxone - therapeutic use
Drainage
Female
Humans
Salmonella - classification
Salmonella - isolation & purification
Salmonella Infections - drug therapy
Salmonella Infections - microbiology
Salmonella Infections - surgery
Serotyping
Thyroid Gland - microbiology
Thyroidectomy
Thyroiditis, Suppurative - drug therapy
Thyroiditis, Suppurative - microbiology
Thyroiditis, Suppurative - surgery
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Summary:A patient with suppurative thyroiditis due to infection with Salmonella brandenburg is reported. Localization of the infection occurred to a pre-existing thyroid nodule after Salmonella bacteremia. S. brandenburg was isolated in pure culture from the fluid obtained by needle aspiration of the suppurated thyroid nodule. Surgical drainage followed by subtotal thyroidectomy was required to cure the disease. No evidence of pyriform sinus fistula was found. Suppurative thyroiditis due to Salmonella ubiquitous serotypes is an extremely rare condition, and infection to the thyroid produced by S. brandenburg is reported now for the first time. Indeed, the isolation rate of S. brandenburg from all human sources is low, and this microorganism is an uncommon agent of bacteremia.
ISSN:0804-4643
0001-5598
1479-683X
DOI:10.1530/acta.0.1280439