Dai M S, Chang H, Peng M Y, Ho C L, Chao T Y
Division of Hematology/Oncology, Department of Medicine, Tri-Service General Hospital, National Defense Medical Center, No. 325, Section 2, Cheng-Kung Road, Neihu 114, Taipei, Taiwan.
Ann Hematol. 2003 Oct;82(10):646-8. doi: 10.1007/s00277-003-0702-5. Epub 2003 Jul 22.
We describe an 82-year-old man with undiagnosed chronic lymphocytic leukemia (CLL) who presented with acute swelling of the thyroid goiter. Subsequent thyroid aspirate and blood culture yielded group B Salmonella thyroid abscess with septicemia. Infectious complications are the major cause of morbidity and mortality in patients with CLL since most of them can be timely detected and few can arise from innocent-looking lesions.
我们描述了一名82岁未确诊慢性淋巴细胞白血病（CLL）的男性，他出现了甲状腺肿大急性肿胀。随后的甲状腺穿刺抽吸物和血培养结果显示为B组沙门氏菌甲状腺脓肿伴败血症。感染性并发症是CLL患者发病和死亡的主要原因，因为其中大多数可以及时检测到，少数可源于看似无害的病变。
