Vocal cord paralysis and tracheal rupture secondary to thyroid abscess

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Vocal cord paralysis involving tracheal rupture secondary to thyroid abscess is extremely rare. We report a case of a patient with a thyroid abscess that eventually led to vocal cord paralysis, tracheal rupture and mediastinitis, and the patient consequently died. When a patient develops hoarseness, fever and neck pain, the clinician should examine the larynx and neck to consider the possibility of vocal cord paralysis secondary to thyroid abscess in the differential diagnosis. If thyroid abscess is diagnosed, early initiation of intravenous antibiotics and prompt surgical drainage are essential to minimize severe complications.

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