| Summary: | Acute suppurative thyroiditis is rare, and its occurrence in pregnancy is thought to be related to high circulating levels of human chorionic gonadotropin that cross-bind to TSH receptors. The subsequent dysregulation of normal thyroid processes could increase its susceptibility to infection. We describe a 33 year old pregnant woman who presented in her second trimester with acute suppurative thyroiditis, which was confirmed on ultrasound and MRI. She underwent successful surgical drainage after failed attempts at aspiration of the abscess. Suppurative thyroiditis is an uncommon disease. In pregnancy, the need to consider maternal and fetal safety creates additional challenges in diagnosis and management. Keywords: Suppurative thyroiditis, Thyroid abscess, Pregnancy
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