CASE REPORT article
Front. Pediatr.
Sec. Pediatric Endocrinology
Volume 13 - 2025 | doi: 10.3389/fped.2025.1614566
Pediatric Acute Suppurative Thyroiditis Caused by Eikenella corrodens: A Rare Presentation Revealing Pyriform Sinus Fistula
Provisionally accepted
- 1Qilu Hospital, Shandong University, Jinan, China
- 2Linyi Traditional Chinese Medicine Hospital, Linyi, China
- 3Linyi Cancer Hospital, Linyi, Shandong Province, China
Select one of your emails
You have multiple emails registered with Frontiers:
Notify me on publication
Please enter your email address:
If you already have an account, please login
You don't have a Frontiers account ? You can register here
Acute suppurative thyroiditis (AST) is a rare, potentially life-threatening bacterial infection of the thyroid gland, characterized by rapid progression. We report a rare pediatric case of AST caused by Eikenella corrodens, secondary to a pyriform sinus fistula (PSF), initially misdiagnosed as subacute thyroiditis (SAT). A retrospective analysis highlights the diagnostic challenges and emphasizes the need for early suspicion of PSF in recurrent AST. Timely imaging (CT/laryngoscopy) and pathogendirected antibiotics are critical to prevent life-threatening complications. This case underscores the importance of considering atypical pathogens and underlying anatomical anomalies in pediatric AST to guide targeted therapy.
Keywords: suppurative thyroiditis, subacute thyroiditis, Eikenella corrodens, Pyriform sinus fistula, pediatric infection, Branchial cleft anomaly
Received: 15 May 2025; Accepted: 28 Jul 2025.
Copyright: © 2025 Cui, Zhao, Dong, Yang and Dong. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Jianjun Dong, Qilu Hospital, Shandong University, Jinan, China
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.