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Journal of Tropical Pediatrics Advance Access originally published online on June 9, 2005
Journal of Tropical Pediatrics 2005 51(6):383-385; doi:10.1093/tropej/fmi030
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© The Author [2005]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Case Report

Actinomycotic Suppurative Thyroiditis in a Child

Nihal Karatoprak, Zeynep Atay, Nurdan Erol, Sevil Bilir Goksugur and Omer Ceran

Clinic of Pediatrics, Haydarpasa Numune Education and Research Hospital, Uskudar, Istanbul, Turkey

Correspondence: Dr Zeynep Atay, Barbaros mh, Yesil Kanarya sk, Fatih Apt, No: 14, D:16, 81150, Uskudar, Istanbul, Turkey. E-mail <enveratay{at}e-kolay.net>.

Aim: To present a rare case of actinomycotic suppurative thyroiditis in an infant with provision of the etiology, pathogenesis, clinical findings and treatment of this rare disease.

Design: A report of an 18-month-old female infant who presented with fever, erythema, induration and tenderness of the neck. The patient had the diagnosis of acute suppurative thyroiditis after a series of laboratory evaluation.

Result: She was treated successfully with surgical debridement and intravenous penicillin G.

Conclusion: Although rare, Actinomyces spp. should be considered in the etiology of acute suppurative thyroiditis. Because of its fastidious nature the probability of positive culture is low, thus, the microbiology laboratory should be called in advance to make preparations before culture and transport.


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