Acute Suppurative Thyroiditis with Thyrotoxicosis(cid:31)
Ouyporn Panamonta MD*, Sunee Panombualert MD*, Manat Panamonta MD*, Chalida Apinives MD**
Affiliation : (cid:31) This manuscript was presented at the Quarterly Meetings of the Thai Society of Pediatric Endocrinology, February 2008 * Department of Pediatrics, Faculty of Medicine, Srinagarind Hospital, Khon Kaen University, Khon Kaen ** Department of Radiology, Faculty of Medicine, Srinagarind Hospital, Khon Kaen University, Khon Kaen
Background : Acute suppurative thyroiditis (AST) is a rare condition in children, and most children with AST
usually have normal thyroid function.
Objective : To report a case of thyrotoxicosis complicating AST in a child.
Case Report : A 6-year-old boy with AST presented with the unusual clinical features of severe thyrotoxicosis.
Two palpable masses were found to be of firm to hard consistency with tenderness without any acute inflammatory
signs on the overlying skin of the thyroid gland. The diagnosis of AST was confirmed by ultrasonography and
fine needle aspiration. Thyroid function tests were normal within a week after antibiotic treatment and
surgical drainage.
Conclusion : Transient thyrotoxicosis complicating AST is very rare in children. Awareness of this unusual
complication is important to avoid inappropriate treatment of hyperthyroid disease.
Keywords : Acute suppurative thyroiditis, Thyrotoxicosis
