Kawashita T, Masuda R, Kiyoshi Y, Kawano Y, Miyata K
Department of Pediatrics, Faculty of Medicine, Kagoshima University.
Kansenshogaku Zasshi. 1990 Dec;64(12):1556-60. doi: 10.11150/kansenshogakuzasshi1970.64.1556.
A 6-year-old girl with acute suppurative thyroiditis is reported. She suffered from suppurative thyroiditis twice, and E. corrodens and alpha-streptococcus were grown from the abscess each time. They were sensitive to antibiotics used, but surgical drainage was necessary to cease to inflammation each time. E. corrodens seemed to be a causative organism with or without another organism in compromised patients and/or patients with anatomical abnormalities. The presented patient was supposed to have some anatomical abnormality such as an internal fistula from the piriform sinus connecting the perithyroidal space, however, no abnormalities were detected during these episodes.
报告了一名6岁患急性化脓性甲状腺炎的女孩。她曾两次患化脓性甲状腺炎,每次脓肿培养均生长出啮蚀艾肯菌和甲型链球菌。它们对所用抗生素敏感,但每次都需要手术引流才能使炎症消退。在免疫功能低下的患者和/或有解剖结构异常的患者中,无论是否有其他病原体,啮蚀艾肯菌似乎都是一种致病病原体。该病例患者推测存在一些解剖结构异常,如从梨状窦至甲状腺周围间隙的内瘘,但在这些发病期间未检测到异常。