{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T09:01:02Z","timestamp":1781254862250,"version":"3.54.1"},"reference-count":11,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T00:00:00Z","timestamp":1776124800000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Acute Suppurative Thyroiditis (AST) is a very rare disorder of the thyroid gland, accounting for less than 1% of all thyroid diseases, owing to the protective mechanisms of the thyroid gland, including its rich vascular supply, extensive lymphatic drainage, well\u2010developed capsule, and high iodine content. Gram\u2010positive organisms are the most frequently reported etiological agents, while gram\u2010negative pathogens such as\n                    <jats:styled-content style=\"fixed-case\">\n                      <jats:italic>Escherichia coli<\/jats:italic>\n                    <\/jats:styled-content>\n                    are rarely reported, particularly in immunocompetent individuals. We describe the case of a 54\u2010year\u2010old male who presented with a painful anterior neck swelling and dysphagia. Laboratory findings revealed leukocytosis, elevated inflammatory markers, and normal thyroid function. Imaging revealed a multiloculated abscess involving the right thyroid lobe and isthmus. Fine\u2010needle aspiration yielded purulent material and culture\u2010confirmed\n                    <jats:styled-content style=\"fixed-case\">\n                      <jats:italic>Escherichia coli<\/jats:italic>\n                    <\/jats:styled-content>\n                    . The patient was successfully managed with intravenous antibiotics and ultrasound\u2010guided aspiration, with complete clinical resolution and no recurrence at follow\u2010up. This case highlights the need to consider atypical pathogens even in immunocompetent individuals.\n                  <\/jats:p>","DOI":"10.1002\/ccr3.72545","type":"journal-article","created":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T04:01:07Z","timestamp":1776225667000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Acute Suppurative Thyroiditis Caused by\n                    <i>Escherichia coli<\/i>\n                    in an Immunocompetent Adult: A Case Report"],"prefix":"10.1002","volume":"14","author":[{"given":"Sudan","family":"Bhurtel","sequence":"first","affiliation":[{"name":"Chitwan Medical College Teaching Hospital  Chitwan Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-9730-5616","authenticated-orcid":false,"given":"Sijan","family":"Poudel","sequence":"additional","affiliation":[{"name":"Lumbini Medical College &amp; Teaching Hospital  Pravas Palpa Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-8974-4656","authenticated-orcid":false,"given":"Rajesh","family":"Kandel","sequence":"additional","affiliation":[{"name":"Chitwan Medical College Teaching Hospital  Chitwan Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mandil","family":"Adhikari","sequence":"additional","affiliation":[{"name":"Chitwan Medical College Teaching Hospital  Chitwan Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kajol","family":"Jaiswal","sequence":"additional","affiliation":[{"name":"Chitwan Medical College Teaching Hospital  Chitwan Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,14]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2008.0146"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988108900216"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/01455613221150128"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0009\u20109260(98)80289\u20104"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/5.1.108"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2013.08.003"},{"key":"e_1_2_11_8_1","unstructured":"\u201cCARE Case Report Guidelines. CARE Checklist \u201d(2026) https:\/\/www.care\u2010statement.org\/checklist."},{"issue":"74","key":"e_1_2_11_9_1","first-page":"51","article-title":"Acute Suppurative Thyroiditis With Thyroid Abscess: A Case Report and Review of the Literature","volume":"26","author":"Ghaemi N.","year":"2014","journal-title":"Iranian Journal of Otorhinolaryngology"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.3390\/medicina62030440"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(03)00010-7"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/20009666.2019.1586277"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.72545","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccr3.72545","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.72545","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T08:46:28Z","timestamp":1781253988000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.72545"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":11,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1002\/ccr3.72545"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.72545","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"2026-02-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e72545"}}