RT Journal Article SR Electronic T1 Isolated thyroid abscess in early childhood JF BMJ Case Reports JO BMJ Case Reports FD BMJ Publishing Group Ltd SP e252948 DO 10.1136/bcr-2022-252948 VO 16 IS 2 A1 Lekhya Venkataraman A1 Prasanna Kumar Saravanam A1 Sathish Kumar Jayagandhi A1 Pradeep Dhanapal YR 2023 UL http://casereports.bmj.com/content/16/2/e252948.abstract AB Isolated thyroid abscess is a rare entity in early childhood. Among thyroid disorders, thyroid abscess or acute suppurative thyroiditis constitutes about 0.7%–1% of all cases. The thyroid gland is normally resistant to infections due to its well-enveloped capsule, rich blood supply, and high iodine content.A child presented with tender neck swelling accompanied by fever for 3 days. Ultrasound of the neck showed features suggestive of left parapharyngeal abscess. Laboratory parameters including thyroid function test were within normal limits. Contrast-enhanced CT of the neck was done and showed an isolated thyroid abscess with no other abnormalities. The patient was started on intravenous antibiotics followed by incision and drainage of the abscess. The child improved symptomatically. This report discusses the differential diagnosis and management of this rare entity.