Case ReportAcute Suppurative Salmonella Thyroiditis in a Patient With Graves Disease and Fluoroquinole ResistanceChou, Chen-Kai MD; Hsieh, Ching-Jung MD Author Information From the Chang Gung Memorial Hospital–Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan. Reprints: Ching Jung Hsieh, Department of Internal Medicine, Chang Gung Memorial Hospital, 123, Ta-Pei Road, Niao-Sung Hsiang, Kaohsiung Hsien 83305, Taiwan, ROC. E-mail: [email protected]. The Endocrinologist 17(5):p 249-251, September 2007. | DOI: 10.1097/TEN.0b013e3181563641 Buy Metrics Abstract A 31-year-old woman with a history of hyperthyroidism presented with acute swelling of the goiter. Subsequent thyroid aspirate grew fluoroquinolone-resistant Salmonella enterica serotype choleraesuis. The patient was treated with parental antibiotics and surgical drainage. No evidence of a pyriform sinus fistula was found. The source and route of infection remained unidentified. Infections of the thyroid are rare but potentially life-threatening. Salmonella-induced suppurative thyroiditis is very rare. We report this unusual case of acute suppurative thyroiditis caused by S choleraesuis in an immunocompetent middle-aged woman with a history of hyperthyroidism. © 2007 Lippincott Williams & Wilkins, Inc.