Case Report: Pediatric acute suppurative thyroiditis caused by Eikenella corrodens: a rare presentation revealing pyriform sinus fistula
Acute suppurative thyroiditis (AST) is a rare, potentially life-threatening bacterial infection of the thyroid gland, characterized by rapid progression. We report a rare pediatric case of AST caused by Eikenella corrodens, secondary to a pyriform sinus fistula (PSF), initially misdiagnosed as subac...
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Frontiers Media S.A.
2025-08-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2025.1614566/full |
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| author | Fan Cui Fan Cui Lin Zhao Fanchao Dong Zhiqiang Yang Jianjun Dong |
| author_facet | Fan Cui Fan Cui Lin Zhao Fanchao Dong Zhiqiang Yang Jianjun Dong |
| author_sort | Fan Cui |
| collection | DOAJ |
| description | Acute suppurative thyroiditis (AST) is a rare, potentially life-threatening bacterial infection of the thyroid gland, characterized by rapid progression. We report a rare pediatric case of AST caused by Eikenella corrodens, secondary to a pyriform sinus fistula (PSF), initially misdiagnosed as subacute thyroiditis (SAT). A retrospective analysis highlights the diagnostic challenges and emphasizes the need for early suspicion of PSF in recurrent AST. Timely imaging (CT/laryngoscopy) and pathogen-directed antibiotics are critical to prevent life-threatening complications. This case underscores the importance of considering atypical pathogens and underlying anatomical anomalies in pediatric AST to guide targeted therapy. |
| format | Article |
| id | doaj-art-5eba3e17fac24553a307780e8d415bc8 |
| institution | Kabale University |
| issn | 2296-2360 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj-art-5eba3e17fac24553a307780e8d415bc82025-08-20T03:59:32ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602025-08-011310.3389/fped.2025.16145661614566Case Report: Pediatric acute suppurative thyroiditis caused by Eikenella corrodens: a rare presentation revealing pyriform sinus fistulaFan Cui0Fan Cui1Lin Zhao2Fanchao Dong3Zhiqiang Yang4Jianjun Dong5Department of Endocrinology, Qilu Hospital of Shandong University, Jinan, Shandong, ChinaDepartment of Endocrinology, Linyi Traditional Chinese Medicine Hospital, Linyi, Shandong, ChinaDepartment of Endocrinology, Linyi Traditional Chinese Medicine Hospital, Linyi, Shandong, ChinaDepartment of Nursing, Linyi Cancer Hospital, Linyi, Shandong, ChinaDepartment of Breast Surgery, Linyi Cancer Hospital, Linyi, Shandong, ChinaDepartment of Endocrinology, Qilu Hospital of Shandong University, Jinan, Shandong, ChinaAcute suppurative thyroiditis (AST) is a rare, potentially life-threatening bacterial infection of the thyroid gland, characterized by rapid progression. We report a rare pediatric case of AST caused by Eikenella corrodens, secondary to a pyriform sinus fistula (PSF), initially misdiagnosed as subacute thyroiditis (SAT). A retrospective analysis highlights the diagnostic challenges and emphasizes the need for early suspicion of PSF in recurrent AST. Timely imaging (CT/laryngoscopy) and pathogen-directed antibiotics are critical to prevent life-threatening complications. This case underscores the importance of considering atypical pathogens and underlying anatomical anomalies in pediatric AST to guide targeted therapy.https://www.frontiersin.org/articles/10.3389/fped.2025.1614566/fullsuppurative thyroiditissubacute thyroiditisEikenella corrodenspyriform sinus fistulapediatric infectionbranchial cleft anomaly |
| spellingShingle | Fan Cui Fan Cui Lin Zhao Fanchao Dong Zhiqiang Yang Jianjun Dong Case Report: Pediatric acute suppurative thyroiditis caused by Eikenella corrodens: a rare presentation revealing pyriform sinus fistula Frontiers in Pediatrics suppurative thyroiditis subacute thyroiditis Eikenella corrodens pyriform sinus fistula pediatric infection branchial cleft anomaly |
| title | Case Report: Pediatric acute suppurative thyroiditis caused by Eikenella corrodens: a rare presentation revealing pyriform sinus fistula |
| title_full | Case Report: Pediatric acute suppurative thyroiditis caused by Eikenella corrodens: a rare presentation revealing pyriform sinus fistula |
| title_fullStr | Case Report: Pediatric acute suppurative thyroiditis caused by Eikenella corrodens: a rare presentation revealing pyriform sinus fistula |
| title_full_unstemmed | Case Report: Pediatric acute suppurative thyroiditis caused by Eikenella corrodens: a rare presentation revealing pyriform sinus fistula |
| title_short | Case Report: Pediatric acute suppurative thyroiditis caused by Eikenella corrodens: a rare presentation revealing pyriform sinus fistula |
| title_sort | case report pediatric acute suppurative thyroiditis caused by eikenella corrodens a rare presentation revealing pyriform sinus fistula |
| topic | suppurative thyroiditis subacute thyroiditis Eikenella corrodens pyriform sinus fistula pediatric infection branchial cleft anomaly |
| url | https://www.frontiersin.org/articles/10.3389/fped.2025.1614566/full |
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