Karanikolic Aleksandar, Djordjevic Miodrag, Djordjevic Nebojsa, Pesic Ivan, Djordjevic Lidija, Zlatic Aleksandar, Bojic Toplica, Karanikolic Vesna
Surgical clinic Nis, Clinical Center Nis, Nis, Serbia.
Faculty of Medicine, University of Nis, Serbia.
Arch Iran Med. 2018 Feb 1;21(2):79-81.
Acute suppurative thyroiditis (AST) leading to thyroid abscess is a rare clinical entity. The aim of this article is to demonstrate a case of severe bilateral pneumonia which originated from a thyroid abscess. The authors report the case of a 57-year-old woman with severe bilateral pneumonia of thyroid origin. The patient had a painful throat and dysphagia for 2 or 3 days. She also had a history of mild fever and hard breathing with a discreet cough 7 days prior to hospital admission. In the past few months, the patient had frequent pneumonias. The patient was treated with a culture-appropriate antibiotic and total thyroidectomy. Primary recommendations for treatment of complicated infections of thyroid origin consider a multidisciplinary approach. Recurrent pneumonia in patients with thyroid nodules may be the result of thyroid inflammation, and, in such patients, neck ultrasound should be conducted as part of the diagnostic workup.
导致甲状腺脓肿的急性化脓性甲状腺炎（AST）是一种罕见的临床病症。本文旨在展示一例源自甲状腺脓肿的严重双侧肺炎病例。作者报告了一名57岁女性患有甲状腺源性严重双侧肺炎的病例。患者有2至3天的咽痛和吞咽困难。她在入院前7天还有轻度发热、呼吸急促伴轻微咳嗽的病史。在过去几个月里，该患者频繁发生肺炎。患者接受了针对性培养的抗生素治疗及甲状腺全切除术。对于甲状腺源性复杂感染的主要治疗建议考虑采用多学科方法。甲状腺结节患者反复发生肺炎可能是甲状腺炎症所致，对于此类患者，颈部超声检查应作为诊断检查的一部分。
