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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Paciente de 63 a&#241;os con antecedentes de hemorragia digestiva alta por AINE&#44; que acudi&#243; por tos y disnea de pocos d&#237;as de evoluci&#243;n&#44; sin fiebre&#44; junto con dolor a la palpaci&#243;n cervical e importante elevaci&#243;n de reactantes de fase aguda&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Se solicit&#243; una angiotomograf&#237;a computarizada &#40;angio-TC&#41; tor&#225;cica para valoraci&#243;n de arterias pulmonares por sospecha de tromboembolismo pulmonar&#44; apreciando &#250;nicamente cambios inflamatorios mediast&#237;nicos&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Dicho estudio se complet&#243; con ecograf&#237;a y TC cervical con contraste&#44; identificando una formaci&#243;n qu&#237;stica con extensi&#243;n intrator&#225;cica que depend&#237;a del l&#243;bulo tiroideo izquierdo &#40;<a class="elsevierStyleCrossRef" href="#fig0005">fig&#46; 1</a>A&#41;&#44; con ecos internos m&#243;viles y tabiques&#44; paredes irregulares hipercaptantes en la TC&#44; y discontinuidad de la vertiente m&#225;s caudal de la misma &#40;<a class="elsevierStyleCrossRef" href="#fig0005">fig&#46; 1</a>B&#41;&#46; Adem&#225;s&#44; aumento de densidad de la grasa mediast&#237;nica superior junto con adenopat&#237;as reactivas &#40;<a class="elsevierStyleCrossRef" href="#fig0005">fig&#46; 1</a>C&#41;&#46; Estos hallazgos suger&#237;an quiste tiroideo complicado con rotura y signos de mediastinitis secundaria&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">Se realiz&#243; cirug&#237;a urgente con cervicotom&#237;a&#44; desbridamiento y hemitiroidectom&#237;a izquierda&#44; a&#241;adiendo piperacilina-tazobactam y linezolid&#46; La anatom&#237;a patol&#243;gica confirm&#243; la presencia de un quiste tiroideo roto y complicado con restos necr&#243;ticos e infiltrado inflamatorio agudo&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">El caso que presentamos ilustra una causa de mediastinitis aguda no descrita hasta la actualidad&#58; la rotura espont&#225;nea de un quiste tiroideo&#46; Aunque existen casos publicados como complicaci&#243;n de ablaci&#243;n o biopsia tiroidea<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1&#44;2</span></a>&#44; no se hab&#237;an presentado previamente mediastinitis por roturas espont&#225;neas sin manipulaci&#243;n previa&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Financiaci&#243;n</span><p id="par0030" class="elsevierStylePara elsevierViewall">Este trabajo de investigaci&#243;n no ha recibido ning&#250;n tipo de apoyo financiero espec&#237;fico de instituciones p&#250;blicas&#44; privadas o sin &#225;nimo de lucro&#46;</p></span></span>"
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