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Is the thyroid to blame?

Treat the rare case of acute suppurative thyroiditis as a medical emergency, with attention to airway protection, intravenous antibiotics, and surgical drainage. Order a sedimentation rate if you suspect subacute thyroiditis. It is almost always elevated in patients with this disease. Treat subacute thyroiditis with prednisone 40 mg daily in patients refractory to treatment with nonsteroidal anti-inflammatory drugs.