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Transient hyperthyroidism secondary to acute suppurative thyroiditis caused by pyriform sinus fistula

Acute suppurative thyroiditis is a rare, yet potentially life-threatening infectious disease commonly associated with pyriform sinus fistula, especially in children and patients with recurrent episodes. Rarely, infectious thyroiditis is accompanied by transient, self-limiting hyperthyroidism. We report a case of infectious thyroiditis associated with destructive, subclinical hyperthyroidism due to pyriform sinus fistula in a paediatric patient. In addition to high resolution neck ultrasound, fine-needle aspiration biopsy, endoscopic examination and barium swallow were invaluable for correct diagnosis. During acute exacerbation, treatment with antibiotics was indicated, but permanent cure could only be attained by surgical exploration, drainage, and finally, by complete fistulectomy.

Suppurative thyroiditis Laryngoscopy Infection Hyperthyroidism Pyriform sinus fistula

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