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      Tireoidite supurativa aguda com múltiplas complicações Translated title: Acute suppurative thyroiditis with multiple complications

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          Abstract

          A tireoidite supurativa aguda é uma desordem rara, mais frequentemente causada pelo Staphylococcus aureus ou Streptococcus pneumoniae, e atinge particularmente crianças com fístula do seio piriforme. Em adultos, a disseminação por via hematogênica a partir de foco infeccioso em orofaringe ou trato respiratório parece ser o principal mecanismo patogênico. Os sinais e sintomas iniciais da tireoidite aguda são semelhantes aos da faringite aguda e da tireoidite subaguda. Esse fato frequentemente retarda o diagnóstico dessa doença e aumenta o risco de complicações. Relatamos o caso de um paciente masculino de 28 anos, previamente saudável, que, após quadro de amigdalite, apresentou tireoidite aguda complicada por tireotoxicose, volumoso abscesso no lobo direito da tireoide, que se estendia à abertura superior do tórax com desvio da traqueia e compressão de grandes vasos, associado à trombose de veia jugular interna e sepse.

          Translated abstract

          Acute suppurative thyroiditis is a rare disorder, most often caused by Staphylococcus aureus or Streptococcus pneumoniae, which affects particularly children with pyriform sinus fistula. In adults, the main pathogenic mechanism seems to be hematogenous dissemination from a focus of infection in the oropharynx or respiratory tract. The initial signs and symptoms of acute thyroiditis are similar to those of acute pharyngitis and subacute thyroiditis. This fact often delays diagnosis and increases the risk of complications. We report the case of a previously healthy, 28-year-old man who, after being affected by tonsillitis, developed suppurative thyroiditis complicated by thyrotoxicosis; a large abscess in the right lobe of the thyroid extending to the thorax introitus, which caused a trachea deviation and compressed large vessels; associated with internal jugular vein thrombosis, and sepsis.

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          Author and article information

          Contributors
          Role: ND
          Role: ND
          Role: ND
          Role: ND
          Role: ND
          Journal
          abem
          Arquivos Brasileiros de Endocrinologia & Metabologia
          Arq Bras Endocrinol Metab
          Sociedade Brasileira de Endocrinologia e Metabologia (São Paulo )
          1677-9487
          August 2012
          : 56
          : 6
          : 388-392
          Affiliations
          [1 ] Universidade do Estado do Rio de Janeiro Brazil
          [2 ] Hospital Quinta D'Or Brasil
          [3 ] Universidade do Estado do Rio de Janeiro Brazil
          Article
          S0004-27302012000600008
          10.1590/S0004-27302012000600008
          22990644
          872e6cdf-b55a-46cc-8607-ac7d374bafac

          http://creativecommons.org/licenses/by/4.0/

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          SciELO Brazil

          Self URI (journal page): http://www.scielo.br/scielo.php?script=sci_serial&pid=0004-2730&lng=en
          Categories
          ENDOCRINOLOGY & METABOLISM

          Endocrinology & Diabetes
          Endocrinology & Diabetes

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