Subacute Thyroiditis in a 4½-Year-Old Girl FREE

RICHARD M. BUCHTA, MD; PAMELA PRICE, MD

Am J Dis Child. 1980;134(11):1090-1091. doi:10.1001/archpedi.1980.02130230068019.

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ABSTRACT

ABSTRACT | REFERENCES

Subacute thyroiditis is distinguished from "acute thyroiditis" by virtue of cause rather than mode of onset. Acute thyroiditis is bacterial in origin, usually with abscess formation. Subacute thyroiditis is generally thought to be viral. In 1973, Kirkland et al¹ reported a total of 36 cases of acute thyroiditis in children.² However, subacute thyroiditis is mentioned in only two pediatric case reports.^2,3 Studies in the adult literature mention five other cases of subacute thyroiditis.^4-8 We report an additional case in a 4½-year-old girl.

Report of a Case.—A 4½-year-old girl experienced fever and otitis media of the left ear six days prior to admission. Ampicillin sodium (250 mg) four times a day and a decongestant were given. The fever persisted, and she complained of dysphagia. Penicillin G benzathine (Bicillin), 600,000 units, was given. Two days later, anterior neck pain and thyroid swelling occurred.

Physical examination revealed a

REFERENCES

ABSTRACT | REFERENCES

Kirkland RT, Kirkland JL, Rosenberg HS, et al: Solitary thyroid nodules in 30 children and report of a child with a thyroid abscess . Pediatrics 51:85-89, 1973;.

Hung W: Mumps thyroiditis and hypothyroidism . J Pediatr 74:611-613, 1969;.

Radfar N, Kennery F, Larsen PR: Subacute thyroiditis in a lateral ectopic thyroid gland: Evaluation of the pituitary-thyroid axis during the acute destructive and recovery phases . J Pediatr 87:34-37, 1975;.

John J, Nicholson W: An evaluation of the treatment of thyroiditis . South Med J 44:1059-1062, 1951;.

Jackson AS, Gilman LC: Thyroiditis . Am J Surg 88:891-895, 1954;.

Hamberg BA, Hintze G, Lussile R, et al: Subacute thyroiditis . Acta Endocrinol 33:457-472, 1960;.

Hamburger JI: Subacute thyroiditis: Diagnostic difficulties and simple treatment . Nucl Med 15:81-89, 1974;.

Chamberlain JL: Acute thyroiditis: Report of a case in a child . Ky Med Assoc 65:1001-1002, 1966;.

Hazard JB: Thyroiditis: A review . Am J Clin Pathol 15:289, 298, 1955;.

Abe K, Taguchi T, Okuno A, et al: Recurrent acute suppurative thyroiditis . Am J Dis Child 132:990-991, 1978;.

Greene J: Subacute thyroiditis . Am J Med 51:97-108, 1971;.

Basterie PA, Ermans AM: Thyroiditis and Thyroid Function . New York, Pergamon Press, 1972;, pp 69-97.

Larsen PR: Serum triiodothyronine, thyroxine, and thyrotropin during hyperthyroid, hypothyroid and recovery phases of subacute nonsuppurative thyroiditis . Metabolism 23:467-471, 1974;.

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