Case presentation: A 33-year-old female was presented to the emergency department with erythema and swelling in the anterior midline neck. Neck range of motion was not hindered, and she was not experiencing stridor or dysphonia. She was administered with amoxicillin-clavulanic acid for two days before arriving to the clinic but there was no improvement in her condition. History: Ten days prior to presentation, she had attempted to commit suicide with muscle relaxants and alcohol.

She had to undergo urgent intubation, which was reported to be traumatic due to combativeness. She was admitted to ICU where atropine was administered for muscle relaxant reversal, and after 24 hours, she was extubated. After this, in the following week, she experienced progressive anterior neck pain, fullness, odynophagia, and dysphagia. There was no known history of thyroid malignancy, but she was diagnosed…