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异位舌甲状腺引起吞咽困难和呼吸困难的急性感染性甲状腺炎:病例报告与讨论

Acute infectious thyroiditis in ectopic lingual thyroid causing dysphagia and dyspnoea: a case report and discussion.

作者信息

Kalnina Marika, Pramalte Anda, Zemniece Liene, Safronov Yegor

机构信息

Nuclear Medicine Department, Nuclear Medicine Centre, Ltd, Riga, Latvia.

Institute of Diagnostic Radiology, Pauls Stradins Clinical University Hospital, Riga, Latvia.

出版信息

BJR Case Rep. 2016 Sep 7;3(1):20160025. doi: 10.1259/bjrcr.20160025. eCollection 2017.

Abstract

Acute infectious thyroiditis in patients with ectopic lingual thyroid gland is extremely rare, and in most cases, this condition, if symptomatic, manifests as dysphagia and dyspnoea. This case report shows that, in addition to the previously mentioned typical symptoms, our patient also suffered from febrile temperature, progressive fullness in the throat and pain during swallowing. Diagnosis of acute infectious thyroiditis associated with lingual thyroid gland is complex and requires evaluation of results of clinical findings and laboratory tests, and also evaluation by radiological diagnostic methods. Treatment was performed by administering antibacterial and anti-inflammatory therapy, resulting in the disappearance of complaints. Clinical appearance, diagnostic methods and treatment options are discussed in the discussion section.

摘要

异位舌甲状腺患者发生急性感染性甲状腺炎极为罕见,在大多数情况下,这种情况若有症状,表现为吞咽困难和呼吸困难。本病例报告表明,除了上述典型症状外,我们的患者还出现了发热、咽部进行性饱满感和吞咽时疼痛。与舌甲状腺相关的急性感染性甲状腺炎的诊断复杂,需要评估临床检查结果和实验室检查结果,还需要通过放射诊断方法进行评估。通过给予抗菌和抗炎治疗进行了治疗,患者的症状消失。在讨论部分讨论了临床表现、诊断方法和治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11a5/6159276/5fd565ab6354/bjrcr.20160025.g001.jpg

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