Acute suppurative thyroiditis (AST) is a rare but potentially lethal endocrine condition, representing just 0.1–0.7% of all thyroid disease . The rarity of AST is thought to be influenced by several protective trophic factors and anatomic barriers specific to the thyroid gland, including the presence of iodine, hydrogen peroxide, lymphatic drainage, and a thyroid capsule. These mechanisms have been suggested to provide a shield against the development of thyroid suppuration [2–4].