Liu Yanxi, Yu Siyao, Ren Xing, Qiao Yue, Sun Guang
Department of Breast Surgery China-Japan Union Hospital of Jilin University Changchun Jilin China.
J Diabetes Investig. 2016 Jan;7(1):127-9. doi: 10.1111/jdi.12342. Epub 2015 Mar 20.
The thyroid is resistant to infection because of the anatomical and physiological characteristics of the gland, and even though diabetes can induce a compromised immune system, thyroid infection disease is scarcely encountered in diabetic patients. Thyroid abscess formation in an asymptomatic diabetic patient is an even rarer entity. We present a case of a previously asymptomatic diabetic patient showing clinical symptoms of painful swelling in the anterior neck followed by progressing dysphagia, who was later diagnosed with thyroid abscess as a result of Klebsiella pneumoniae, complicated with esophagitis caused by the same microorganism. To our knowledge, this is the first reported case of asymptomatic diabetes being clinically diagnosed with thyroid abscess as the first sign.
由于甲状腺的解剖和生理特性,甲状腺对感染具有抵抗力,尽管糖尿病会导致免疫系统受损,但糖尿病患者很少发生甲状腺感染疾病。无症状糖尿病患者发生甲状腺脓肿的情况更为罕见。我们报告一例既往无症状的糖尿病患者,该患者先出现颈部前方疼痛性肿胀的临床症状,随后吞咽困难逐渐加重,后来被诊断为肺炎克雷伯菌引起的甲状腺脓肿,并伴有同一微生物引起的食管炎。据我们所知,这是首例以甲状腺脓肿为首发体征临床诊断为无症状糖尿病的病例报告。