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Friday, 29 November 2013

Thyroid Disease : Acute thyroiditis Treatments In conventional medicine perspective

Thyroid disease is defined as a condition of malfunction of thyroid. Hyperthyroidism is a condition in which the thyroid gland is over active and produces too much thyroid hormones. Hypothyroidism is a condition in which the thyroid gland is under active and produces very little thyroid hormones. Thyroid cancer is defined as condition in which the cells in the thyroid gland have become cancerous.
Acute thyroiditis (Acute infectious thyroiditis or acute suppurative thyroiditis) is defined as a condition of as a result of relatively high amount of iodine in the tissue causes of microbial inflammatory thyroiditis, pyrogenic thyroiditis and bacterial thyroiditis. Acute infectious thyroiditis is very rare, accounting for about 0.1-0.7% of all thyroiditis.
F. Treatments
F.1. In conventional medicine perspective
Drainage of the mass or lump and antibiotics and surgical resection
In the study of Microbiology and management of acute suppurative thyroiditis in children by Georgetown University, found that Staphylococcus aureus, Streptococcus pyogenes, Streptococcus epidermidis, and Streptococcus pneumoniae, are the predominant aerobic isolates. The most common anaerobic bacteria are Gram-negative bacilli and Peptostreptococcus spp. Agents that are rarely recovered include Klebsiella spp., Haemophilus influenzae, Streptococcus viridans, Salmonella spp., Enterobacteriaceae, Mycobacterium tuberculosis, atypical mycobacteria, Aspergillus spp., Coccidioides immitis, Candida spp., Treponema pallidum, and Echinococcus spp. Viruses have been associated with subacute thyroiditis, and include measles, mumps, influenza, enterovirus Epstein-barr, adenovirus, echovirus, and St Louis encephalitis. Therapy includes administration of antibiotics effective against the causative pathogen(s). Proper selection of therapy can be guided by culture of the lesion. Surgical drainage may be necessary in case of suppuration(36). Others indicated that The choice of therapy will also depend on the immune status of the patient. Systemic antibiotics are required for severe infections. Candida albicans thyroiditis can be treated with amphotericin B and 5 fluconazole 100 mg daily. The proper treatment of an acute thyroiditis in children generally requires the surgical removal of the fistula (4) , (7) , (9), although surgical treatment should be delayed until the inflammatory process is resolved (98) , (99).Combining this with partial thyroidectomy may further decrease the recurrence rate (15). Alternatively, fistula tract ablation can be achieved either by surgical resection which has been associated with recurrence free survival (85), or less invasively obliterated with the instillation of a chemocauterizing agent which has also been demonstrated to result is satisfactory outcomes (95) , (92) , (85) , (93).(37).
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Sources
(36) http://www.ncbi.nlm.nih.gov/pubmed/12697345
(37) http://www.thyroidmanager.org/chapter/acute-and-subacute-and-riedels-thyroiditis/