{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:39:53Z","timestamp":1777448393470,"version":"3.51.4"},"reference-count":3,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2025,5,11]],"date-time":"2025-05-11T00:00:00Z","timestamp":1746921600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2025,7]]},"abstract":"\n Acute suppurative thyroiditis is a rare but serious condition that can progress to a thyroid abscess, requiring emergency surgical intervention. It is typically caused by Gram-positive bacteria like\n Staphylococcus<\/jats:italic>\n or\n Streptococcus<\/jats:italic>\n , with mycobacteria or fungi seen in immunocompromised patients.\n <\/jats:p>\n \n We report a case of a 46-year-old female who presented with neck pain, swelling, palpitations, and malaise. Initial diagnosis was a viral infection, but imaging at our facility revealed a 6 \u00d7 5.5\u00a0cm abscess in the right thyroid lobe, causing tracheal compression. Labs showed thyrotoxicosis, leukocytosis, and anemia. She was started on \u03b2-blockers, PTU, IV steroids, antibiotics, and given a blood transfusion on admission. Her condition worsened, and she underwent neck exploration with drainage of the abscess, revealing\n E<\/jats:italic>\n .\n coli<\/jats:italic>\n . After treatment, she recovered and was discharged with antibiotics and antithyroid medications. This case emphasizes the importance of early detection and timely surgical intervention of acute suppurative thyroiditis.\n <\/jats:p>","DOI":"10.1177\/00031348251341958","type":"journal-article","created":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T00:26:36Z","timestamp":1747009596000},"page":"1120-1122","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A Challenging Case of Thyrotoxicosis and Thyroid Abscess due to Acute Suppurative Thyroiditis"],"prefix":"10.1177","volume":"91","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-5622-7382","authenticated-orcid":false,"given":"R.","family":"Martin","sequence":"first","affiliation":[{"name":"Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Davie, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Yakoubovitch","sequence":"additional","affiliation":[{"name":"Department of Surgery, FAU Charles E. Schmidt College of Medicine, Boca Raton, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Christopher","sequence":"additional","affiliation":[{"name":"Department of Surgery, FAU Charles E. Schmidt College of Medicine, Boca Raton, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Bavishi","sequence":"additional","affiliation":[{"name":"University of Texas McGovern Medical School, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Parreco","sequence":"additional","affiliation":[{"name":"Memorial Healthcare System, Hollywood, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.A.","family":"Lopez-Viego","sequence":"additional","affiliation":[{"name":"Department of Surgery, FAU Charles E. Schmidt College of Medicine, Boca Raton, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Lopez","sequence":"additional","affiliation":[{"name":"University of Texas McGovern Medical School, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.L.","family":"Buicko","sequence":"additional","affiliation":[{"name":"University of Texas McGovern Medical School, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,5,11]]},"reference":[{"key":"e_1_3_3_2_2","volume-title":"Acute and Subacute, and Riedel\u2019s Thyroiditis","author":"Majety P.","year":"2000","unstructured":"Majety P., Hennessey J. V. In: Feingold K. R., Anawalt B., Blackman M. R., et al., eds. Acute and Subacute, and Riedel\u2019s Thyroiditis. PubMed: MDText.com, Inc; 2000. https:\/\/pubmed.ncbi.nlm.nih.gov\/25905408\/"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.12890\/2021_003009"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2008.0146"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348251341958","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348251341958","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348251341958","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:37:49Z","timestamp":1777379869000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348251341958"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,11]]},"references-count":3,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["10.1177\/00031348251341958"],"URL":"https:\/\/doi.org\/10.1177\/00031348251341958","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,11]]}}}