Cannizzaro Matteo Angelo, Veroux Massimiliano, La Ferrera Maria Grazia Gioacchina, Marziani Alessia, Cavallaro Nunziata, Corona Daniela, Giuffrida Giuseppe, Costanzo Mario
Department of Surgery, Transplantation and Advanced Technologies, Endocrinosurgery Unit S. Luigi Hospital, Catania, Italy.
Surg Today. 2008;38(11):1036-9. doi: 10.1007/s00595-008-3761-3. Epub 2008 Oct 29.
Thyroid abscess is a rare clinical entity, usually associated with a pyriform sinus fistula. A prompt diagnosis is important because it may progress rapidly into a life-threatening condition. We report a very unusual case of thyroid abscess associated with a lung infection, both caused by Klebsiella pneumoniae. The patient was treated successfully with a culture-appropriate antibiotic and an uneventful thyroid lobectomy. A delay in diagnosis of morbidities associated with a thyroid abscess may result in rapid exacerbation of this condition; therefore, prompt and appropriate treatment is mandatory for a successful outcome.
甲状腺脓肿是一种罕见的临床病症，通常与梨状窦瘘相关。及时诊断很重要，因为它可能迅速发展为危及生命的状况。我们报告了一例非常罕见的甲状腺脓肿合并肺部感染的病例，二者均由肺炎克雷伯菌引起。该患者通过使用适合培养结果的抗生素及顺利进行甲状腺叶切除术而成功治愈。延误诊断与甲状腺脓肿相关的病症可能导致病情迅速恶化；因此，为取得成功的治疗效果，及时且恰当的治疗必不可少。
