naa a22 4500 510773338 CHVBK 20180411083222.0 cr unu---uuuuu 180411e20130301xx s 000 0 eng 10.1007/s12022-013-9236-0 doi (NATIONALLICENCE)springer-10.1007/s12022-013-9236-0 Two Cases of Bacterial Suppurative Thyroiditis Caused by Streptococcus anginosus [Elektronische Daten] [Chaoneng Wu, Yiqi Zhang, Yunguo Gong, Yingyong Hou, Siyao Li, Yunzeng Zou, Junbo Ge] Abstracts: Acute suppurative thyroiditis (AST) is a rare clinical condition. Streptococcus anginosus has a propensity of producing empyema in the head and neck. Here, we reported two cases of AST caused by S. anginosus. A 44-year-old man presented with anterior neck tender swelling and odynophagia for 12days. He had thyrotoxicosis. He was initially diagnosed as thyroid cancer due to the misleading computed tomography report. Fine needle aspiration (FNA) yielded pus and neutrophils. S. anginosus was isolated from pus. After aspiration of abscess and treatment with sensitive antibiotics, he recovered uneventfully with 3weeks treatment. He was euthyroid 3months later. The other case is a 40-year-old women complained of fever and left neck swelling for 20days. Magnetic resonance imaging showed left neck inflammatory changes. FNA revealed pus and inflammatory cells infiltration. She had moderately decreased level of thyroid-stimulating hormone (TSH). Blood cultures were positive for S. anginosus. After penicillin treatment, TSH level returned to normal range, and the nodule gradually resolved. She recovered uneventfully after 5weeks treatment. S. anginosus has a previously unappreciated clinical niche in AST. Once AST is clinically concerned, FNA procedure should be performed as early as possible. Springer Science+Business Media New York, 2013 Acute suppurative thyroiditis nationallicence Streptococcus anginosus nationallicence Viridans Streptococcus nationallicence Case report nationallicence Wu Chaoneng Shanghai Institute of Cardiovascular Diseases, Zhongshan Hospital, Fudan University, 180 Feng Lin Road, 200032, Shanghai, China aut Zhang Yiqi Shanghai Institute of Cardiovascular Diseases, Zhongshan Hospital, Fudan University, 180 Feng Lin Road, 200032, Shanghai, China aut Gong Yunguo Shanghai Institute of Cardiovascular Diseases, Zhongshan Hospital, Fudan University, 180 Feng Lin Road, 200032, Shanghai, China aut Hou Yingyong Department of Pathology; Zhongshan Hospital, Fudan University, 180 Feng Lin Road, 200032, Shanghai, China aut Li Siyao Department of Pathology; Zhongshan Hospital, Fudan University, 180 Feng Lin Road, 200032, Shanghai, China aut Zou Yunzeng Shanghai Institute of Cardiovascular Diseases, Zhongshan Hospital, Fudan University, 180 Feng Lin Road, 200032, Shanghai, China aut Ge Junbo Shanghai Institute of Cardiovascular Diseases, Zhongshan Hospital, Fudan University, 180 Feng Lin Road, 200032, Shanghai, China aut Endocrine Pathology Springer US; http://www.springer-ny.com 24/1(2013-03-01), 49-53 1046-3976 24:1<49 2013 24 12022 https://doi.org/10.1007/s12022-013-9236-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12022-013-9236-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Wu Chaoneng Shanghai Institute of Cardiovascular Diseases, Zhongshan Hospital, Fudan University, 180 Feng Lin Road, 200032, Shanghai, China aut NATIONALLICENCE 700 1- Zhang Yiqi Shanghai Institute of Cardiovascular Diseases, Zhongshan Hospital, Fudan University, 180 Feng Lin Road, 200032, Shanghai, China aut NATIONALLICENCE 700 1- Gong Yunguo Shanghai Institute of Cardiovascular Diseases, Zhongshan Hospital, Fudan University, 180 Feng Lin Road, 200032, Shanghai, China aut NATIONALLICENCE 700 1- Hou Yingyong Department of Pathology; Zhongshan Hospital, Fudan University, 180 Feng Lin Road, 200032, Shanghai, China aut NATIONALLICENCE 700 1- Li Siyao Department of Pathology; Zhongshan Hospital, Fudan University, 180 Feng Lin Road, 200032, Shanghai, China aut NATIONALLICENCE 700 1- Zou Yunzeng Shanghai Institute of Cardiovascular Diseases, Zhongshan Hospital, Fudan University, 180 Feng Lin Road, 200032, Shanghai, China aut NATIONALLICENCE 700 1- Ge Junbo Shanghai Institute of Cardiovascular Diseases, Zhongshan Hospital, Fudan University, 180 Feng Lin Road, 200032, Shanghai, China aut NATIONALLICENCE 773 0- Endocrine Pathology Springer US; http://www.springer-ny.com 24/1(2013-03-01), 49-53 1046-3976 24:1<49 2013 24 12022 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer