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Case Report
 
Midline neck abscess: An important and rare presentation in a patient with tubercular thyroiditis
Hala Kanona1, Jagdeep Virk MA2, Khash Nikookam3, Hesham Kaddour4
1PGCert,MRCS, MRCS (ENT), ENT Department, Queen's Hospital.
2[Cantab], MRCS, DOHNS, ENT Department, Queen's Hospital.
3LRCPI & SI, MB, BAO, BCH (NUI) DMEIRELAND, FRCPI, ENT Department, Queen's Hospital.
4FRCS ORL-HNS, ENT Department, Queen's Hospital.

Article ID: 100003HKO042015
doi:10.5348/O04-2015-4-CR-1

Address correspondence to:
Hala Kanona
ENT Department, Queen's Hospital, Barking, Havering and Redbridge University HospitalsNHS Trust
Rom Valley Way, Romford
Essex, RM7 0AZ
Phone: +44 (0)7792001863
Fax: +44 (0)2088693098

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How to cite this article
Kanona H, Virk JMA, Nikookam K, Kaddour H. Midline neck abscess: An important and rare presentation in a patient with tubercular thyroiditis. Edorium J Otolaryngol 2015;2:1–4.


Abstract
Introduction: Involvement of the thyroid gland in extra-pulmonary tuberculosis is extremely rare. A midline neck abscess is the rarest form of presentation.
Case Report: We present a 39-year-old Asian male with a known history of tubercular thyroiditis that presented with a history of pyrexia, cervical lymphadenopathy and a discharging neck abscess overlying the thyroid gland that required surgical drainage and medical treatment. The patient was left with a discharging sinus which completely resolved after five months.
Conclusion: Although early diagnosis for extra-pulmonary tuberculosis may be challenging, tubercular thyroiditis remains an important differential diagnosis in a world where populations are becoming increasingly dynamic, with respect to migration and urbanization, causing increased spread of infectious disease.

Keywords: Abscess, Management, Thyroid, Tuberculosis


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Author Contributions
Hala Kanona – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Jagdeep Virk MA – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Khash Nikookam – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Hesham Kaddour – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2015 Hala Kanona et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.