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Intrathyroid Abscess Formation with Multiple Necrotizing Cervical Lymphadenitis due to Meticillin Resistant Staphylococcus aureus (MRSA); A Case Report with Literature Review

Authors:

KJ Senanayake ,

Department of Surgery, Faculty of Medicine and Allied Health Sciences, Rajarata University of Sri Lanka, LK
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PR Pitigalaarachchi

Department of General Surgery, Teaching Hospital Kandy, LK
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Abstract

Introduction: Intrathyorid abscess formation due to MRSA is rare. It needs high index of suspicion to diagnose early. Early diagnosis and treatment improves the outcome.

The Patient A 77 year old Sri Lankan female, presented to the emergency surgical department with a tender swelling in the anterior neck. On examination there was an enlarged thyroid gland with multiple cervical lymphadenopathy. Ultrasound scan revealed an abscess within the right lobe of the thyroid. Ultrasound guided aspiration of the puss and culture ABST done and the MRSA was isolated after 24 hour incubation. Incision and drainage of the abscess was done. Intravenous antibiotics were started according to the culture ABST.

Conclusion It needs high index of suspicion to diagnose the thyroid abscess early. Ultrasound guided aspiration, Incision and drainage and early administration of sensitive antibiotic would improve the outcome.

DOI: http://dx.doi.org/10.4038/amj.v6i1.5762

Anuradhapura Medical Journal Vol.6(1) 2012: 16-19

How to Cite: Senanayake, K. & Pitigalaarachchi, P., (2013). Intrathyroid Abscess Formation with Multiple Necrotizing Cervical Lymphadenitis due to Meticillin Resistant Staphylococcus aureus (MRSA); A Case Report with Literature Review. Anuradhapura Medical Journal. 6(1), pp.16–19. DOI: http://doi.org/10.4038/amj.v6i1.5762
Published on 12 Jul 2013.
Peer Reviewed

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