Oysu Cagatay, Uslu Celil, Guclu Oguz, Oysu Aslihan
Haydarpasa Numune Hospital for Research and Education, Department of Otolaryngology, Istanbul, Turkey.
Int J Pediatr Otorhinolaryngol. 2005 May;69(5):701-3. doi: 10.1016/j.ijporl.2004.12.003. Epub 2005 Jan 26.
Actinomycotic abscess of the thyroid gland is rare especially in childhood. In this article, we report the second pediatric case in literature, at age of 18 months. Although spread of actinomycotic infection to the thyroid gland from upper aerodigestive tract by preformed pathways such as piriform sinus fistula seems rational, it was demonstrated neither in current nor in previous cases. Therefore, further work-up such as barium swallow, which is onerous to perform in a child may be reserved for recurrent cases.
甲状腺放线菌性脓肿罕见,尤其在儿童中。在本文中,我们报告了文献中的第二例儿科病例,患儿18个月大。尽管放线菌感染通过梨状窦瘘等既定途径从上呼吸道消化道扩散至甲状腺似乎合理,但在当前病例和既往病例中均未得到证实。因此,对于复发病例,可能需要进一步检查,如吞钡检查,但在儿童中进行此项检查较为繁琐。