Acute Suppurative Thyroiditis After Fine-Needle Aspiration Causing Thyrotoxicosis
A case of thyrotoxicosis caused by acute suppurative thyroiditis after repeated fine-needle aspiration (FNA) is described. A 39-year-old woman with atopic dermatitis showed rapid enlargement of a left thyroid cyst after a third FNA. She had a high fever, painful swelling of the left thyroid, and ele...
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| Veröffentlicht in: | Thyroid (New York, N.Y.) N.Y.), 2005-10, Vol.15 (10), p.1183-1187 |
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| container_title | Thyroid (New York, N.Y.) |
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| creator | Nishihara, Eijun Miyauchi, Akira Matsuzuka, Fumio Sasaki, Ichiro Ohye, Hidemi Kubota, Sumihisa Fukata, Shuji Amino, Nobuyuki Kuma, Kanji |
| description | A case of thyrotoxicosis caused by acute suppurative thyroiditis after repeated fine-needle aspiration (FNA) is
described. A 39-year-old woman with atopic dermatitis showed rapid enlargement of a left thyroid cyst after
a third FNA. She had a high fever, painful swelling of the left thyroid, and elevated thyroid hormone levels.
Ultrasonography revealed abscess formation in the left thyroid cyst. The cytologic examination of an FNA specimen
showed abundant neutrophils, and culture of the aspirate yielded
Staphylococcus aureus
. Because antibiotic
treatment for 1 month failed to improve the inflammatory findings, the patient subsequently underwent
left thyroid lobectomy, which resulted in the normalization of thyroid function and the resolution of inflammation.
Thyroid infection had possibly been induced by needle-track seeding, because atopic skin favors colonization
by
S. aureus
because of local immunologic deficiency. FNA is a useful and safe technique for aspirating
fluid from thyroid cysts, but special care is required in patients with atopic dermatatis to avoid bacterial
infection. |
| doi_str_mv | 10.1089/thy.2005.15.1183 |
| format | Article |
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described. A 39-year-old woman with atopic dermatitis showed rapid enlargement of a left thyroid cyst after
a third FNA. She had a high fever, painful swelling of the left thyroid, and elevated thyroid hormone levels.
Ultrasonography revealed abscess formation in the left thyroid cyst. The cytologic examination of an FNA specimen
showed abundant neutrophils, and culture of the aspirate yielded
Staphylococcus aureus
. Because antibiotic
treatment for 1 month failed to improve the inflammatory findings, the patient subsequently underwent
left thyroid lobectomy, which resulted in the normalization of thyroid function and the resolution of inflammation.
Thyroid infection had possibly been induced by needle-track seeding, because atopic skin favors colonization
by
S. aureus
because of local immunologic deficiency. FNA is a useful and safe technique for aspirating
fluid from thyroid cysts, but special care is required in patients with atopic dermatatis to avoid bacterial
infection.</description><identifier>ISSN: 1050-7256</identifier><identifier>EISSN: 1557-9077</identifier><identifier>DOI: 10.1089/thy.2005.15.1183</identifier><identifier>PMID: 16279853</identifier><language>eng</language><publisher>United States: Mary Ann Liebert, Inc</publisher><subject>Adult ; Biopsy, Fine-Needle - adverse effects ; Case Histories of the Month ; Dermatitis, Atopic - complications ; Female ; Humans ; Thyroid Nodule - complications ; Thyroid Nodule - surgery ; Thyroiditis, Suppurative - complications ; Thyroiditis, Suppurative - etiology ; Thyrotoxicosis - etiology</subject><ispartof>Thyroid (New York, N.Y.), 2005-10, Vol.15 (10), p.1183-1187</ispartof><rights>2005, Mary Ann Liebert, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c402t-724549fa04f9442247b9f7a7f23fd2a5290fde5223c860491c65534afa3aeeb33</citedby><cites>FETCH-LOGICAL-c402t-724549fa04f9442247b9f7a7f23fd2a5290fde5223c860491c65534afa3aeeb33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.liebertpub.com/doi/epdf/10.1089/thy.2005.15.1183$$EPDF$$P50$$Gmaryannliebert$$H</linktopdf><linktohtml>$$Uhttps://www.liebertpub.com/doi/full/10.1089/thy.2005.15.1183$$EHTML$$P50$$Gmaryannliebert$$H</linktohtml><link.rule.ids>314,780,784,3040,21721,27922,27923,55289,55301</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16279853$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nishihara, Eijun</creatorcontrib><creatorcontrib>Miyauchi, Akira</creatorcontrib><creatorcontrib>Matsuzuka, Fumio</creatorcontrib><creatorcontrib>Sasaki, Ichiro</creatorcontrib><creatorcontrib>Ohye, Hidemi</creatorcontrib><creatorcontrib>Kubota, Sumihisa</creatorcontrib><creatorcontrib>Fukata, Shuji</creatorcontrib><creatorcontrib>Amino, Nobuyuki</creatorcontrib><creatorcontrib>Kuma, Kanji</creatorcontrib><title>Acute Suppurative Thyroiditis After Fine-Needle Aspiration Causing Thyrotoxicosis</title><title>Thyroid (New York, N.Y.)</title><addtitle>Thyroid</addtitle><description>A case of thyrotoxicosis caused by acute suppurative thyroiditis after repeated fine-needle aspiration (FNA) is
described. A 39-year-old woman with atopic dermatitis showed rapid enlargement of a left thyroid cyst after
a third FNA. She had a high fever, painful swelling of the left thyroid, and elevated thyroid hormone levels.
Ultrasonography revealed abscess formation in the left thyroid cyst. The cytologic examination of an FNA specimen
showed abundant neutrophils, and culture of the aspirate yielded
Staphylococcus aureus
. Because antibiotic
treatment for 1 month failed to improve the inflammatory findings, the patient subsequently underwent
left thyroid lobectomy, which resulted in the normalization of thyroid function and the resolution of inflammation.
Thyroid infection had possibly been induced by needle-track seeding, because atopic skin favors colonization
by
S. aureus
because of local immunologic deficiency. FNA is a useful and safe technique for aspirating
fluid from thyroid cysts, but special care is required in patients with atopic dermatatis to avoid bacterial
infection.</description><subject>Adult</subject><subject>Biopsy, Fine-Needle - adverse effects</subject><subject>Case Histories of the Month</subject><subject>Dermatitis, Atopic - complications</subject><subject>Female</subject><subject>Humans</subject><subject>Thyroid Nodule - complications</subject><subject>Thyroid Nodule - surgery</subject><subject>Thyroiditis, Suppurative - complications</subject><subject>Thyroiditis, Suppurative - etiology</subject><subject>Thyrotoxicosis - etiology</subject><issn>1050-7256</issn><issn>1557-9077</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNplkM9LwzAYhoMobk7vnqQnb6352TTHMpwKoojzXLL2i4t0bU1Scf-9GRt6ED5ICM_78uVB6JLgjOBC3YT1NqMYi4zEIQU7QlMihEwVlvI43rHAqaQin6Az7z8wJnkh2SmakJxKVQg2RS9lPQZIXsdhGJ0O9guS5XrretvYYH1SmgAuWdgO0ieApoWk9IPdgX2XzPXobfe-D4T-29a9t_4cnRjderg4nDP0trhdzu_Tx-e7h3n5mNYc0xDX4oIrozE3inNKuVwpI7U0lJmGakEVNg0ISlld5JgrUudCMK6NZhpgxdgMXe97B9d_juBDtbG-hrbVHfSjr-JXFWNYRhDvwdr13jsw1eDsRrttRXC101hFjdVOY0XiRI0xcnXoHlcbaP4CB28RyPbA7ll3XWthBS78gv8afwAmO38S</recordid><startdate>20051001</startdate><enddate>20051001</enddate><creator>Nishihara, Eijun</creator><creator>Miyauchi, Akira</creator><creator>Matsuzuka, Fumio</creator><creator>Sasaki, Ichiro</creator><creator>Ohye, Hidemi</creator><creator>Kubota, Sumihisa</creator><creator>Fukata, Shuji</creator><creator>Amino, Nobuyuki</creator><creator>Kuma, Kanji</creator><general>Mary Ann Liebert, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20051001</creationdate><title>Acute Suppurative Thyroiditis After Fine-Needle Aspiration Causing Thyrotoxicosis</title><author>Nishihara, Eijun ; Miyauchi, Akira ; Matsuzuka, Fumio ; Sasaki, Ichiro ; Ohye, Hidemi ; Kubota, Sumihisa ; Fukata, Shuji ; Amino, Nobuyuki ; Kuma, Kanji</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c402t-724549fa04f9442247b9f7a7f23fd2a5290fde5223c860491c65534afa3aeeb33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Biopsy, Fine-Needle - adverse effects</topic><topic>Case Histories of the Month</topic><topic>Dermatitis, Atopic - complications</topic><topic>Female</topic><topic>Humans</topic><topic>Thyroid Nodule - complications</topic><topic>Thyroid Nodule - surgery</topic><topic>Thyroiditis, Suppurative - complications</topic><topic>Thyroiditis, Suppurative - etiology</topic><topic>Thyrotoxicosis - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nishihara, Eijun</creatorcontrib><creatorcontrib>Miyauchi, Akira</creatorcontrib><creatorcontrib>Matsuzuka, Fumio</creatorcontrib><creatorcontrib>Sasaki, Ichiro</creatorcontrib><creatorcontrib>Ohye, Hidemi</creatorcontrib><creatorcontrib>Kubota, Sumihisa</creatorcontrib><creatorcontrib>Fukata, Shuji</creatorcontrib><creatorcontrib>Amino, Nobuyuki</creatorcontrib><creatorcontrib>Kuma, Kanji</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Thyroid (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nishihara, Eijun</au><au>Miyauchi, Akira</au><au>Matsuzuka, Fumio</au><au>Sasaki, Ichiro</au><au>Ohye, Hidemi</au><au>Kubota, Sumihisa</au><au>Fukata, Shuji</au><au>Amino, Nobuyuki</au><au>Kuma, Kanji</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acute Suppurative Thyroiditis After Fine-Needle Aspiration Causing Thyrotoxicosis</atitle><jtitle>Thyroid (New York, N.Y.)</jtitle><addtitle>Thyroid</addtitle><date>2005-10-01</date><risdate>2005</risdate><volume>15</volume><issue>10</issue><spage>1183</spage><epage>1187</epage><pages>1183-1187</pages><issn>1050-7256</issn><eissn>1557-9077</eissn><abstract>A case of thyrotoxicosis caused by acute suppurative thyroiditis after repeated fine-needle aspiration (FNA) is
described. A 39-year-old woman with atopic dermatitis showed rapid enlargement of a left thyroid cyst after
a third FNA. She had a high fever, painful swelling of the left thyroid, and elevated thyroid hormone levels.
Ultrasonography revealed abscess formation in the left thyroid cyst. The cytologic examination of an FNA specimen
showed abundant neutrophils, and culture of the aspirate yielded
Staphylococcus aureus
. Because antibiotic
treatment for 1 month failed to improve the inflammatory findings, the patient subsequently underwent
left thyroid lobectomy, which resulted in the normalization of thyroid function and the resolution of inflammation.
Thyroid infection had possibly been induced by needle-track seeding, because atopic skin favors colonization
by
S. aureus
because of local immunologic deficiency. FNA is a useful and safe technique for aspirating
fluid from thyroid cysts, but special care is required in patients with atopic dermatatis to avoid bacterial
infection.</abstract><cop>United States</cop><pub>Mary Ann Liebert, Inc</pub><pmid>16279853</pmid><doi>10.1089/thy.2005.15.1183</doi><tpages>5</tpages></addata></record> |
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| source | Mary Ann Liebert Online Subscription; MEDLINE |
| subjects | Adult Biopsy, Fine-Needle - adverse effects Case Histories of the Month Dermatitis, Atopic - complications Female Humans Thyroid Nodule - complications Thyroid Nodule - surgery Thyroiditis, Suppurative - complications Thyroiditis, Suppurative - etiology Thyrotoxicosis - etiology |
| title | Acute Suppurative Thyroiditis After Fine-Needle Aspiration Causing Thyrotoxicosis |
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