Resumen

CHIRINOS, Jorge Luis; UZCATEGUI, Lilia; PAOLI, Mariela  y  BRICENO, Yajaira. Tiroiditis aguda supurada: Presentación de dos casos pediátricos. Rev. Venez. Endocrinol. Metab. [online]. 2010, vol.8, n.3, pp.108-115. ISSN 1690-3110.

Objectives: To report two cases of children with acute suppurative thyroiditis (TAS), an uncommon condition that causes pain and general involvement of the patient. A literature review is performed. Clinical Cases: A report of two cases: one girl and one boy, both with 3 years of age at diagnosis, who present with general involvement, fever, pain in cervical region and a localized tumour in the left thyroid lobe. The ultrasound reported increased thyroid volume with hypoechoic areas suggestive of purulent collection. The administration of oxacillin and amikacin were started, with good response in the first case and absent response in the second case, who merited change in treatment. The culture of material obtained reported negative. The patients gradually improved after the start of antibiotic therapy. Conclusions: Acute suppurative thyroiditis in pediatric patients must be considered an emergency because of the pain and toxic condition that occurs. It is usually caused by germs of oropharyngeal flora, which can result in a wide range of germs, and it is necessary to administer broad spectrum antibiotics while awaiting culture. Imaging studies are helpful for diagnosis.

Palabras clave : Children; Thyroiditis suppurative; Ultrasonography.