Karatoprak Nihal, Atay Zeynep, Erol Nurdan, Goksugur Sevil Bilir, Ceran Omer
Clinic of Pediatrics, Haydarpasa Numune Education and Research Hospital, Uskudar, Istanbul, Turkey.
J Trop Pediatr. 2005 Dec;51(6):383-5. doi: 10.1093/tropej/fmi030. Epub 2005 Jun 9.
To present a rare case of actinomycotic suppurative thyroiditis in an infant with provision of the etiology, pathogenesis, clinical findings and treatment of this rare disease.
A report of an 18-month-old female infant who presented with fever, erythema, induration and tenderness of the neck. The patient had the diagnosis of acute suppurative thyroiditis after a series of laboratory evaluation.
She was treated successfully with surgical debridement and intravenous penicillin G.
Although rare, Actinomyces spp. should be considered in the etiology of acute suppurative thyroiditis. Because of its fastidious nature the probability of positive culture is low, thus, the microbiology laboratory should be called in advance to make preparations before culture and transport.
报告一例婴儿放线菌性化脓性甲状腺炎罕见病例，并阐述该罕见疾病的病因、发病机制、临床表现及治疗方法。
报告一名18个月大的女婴，其出现发热、颈部红斑、硬结及压痛。经一系列实验室检查后，该患者被诊断为急性化脓性甲状腺炎。
通过手术清创及静脉注射青霉素G，她得到了成功治疗。
尽管罕见，但在急性化脓性甲状腺炎的病因中应考虑放线菌属。由于其苛求的特性，培养阳性的概率较低，因此，应提前通知微生物实验室在培养和送检前做好准备。
