Courtois María F, Colom Nicolás F, Rodas María A, Magnanelli Vanina, Palmieri Florencia, Mirón Lorena, Muracciole Beatriz
Unidad 6 de Clínica Pediátrica, Hospital de Niños Ricardo Gutiérrez, Ciudad Autónoma de Buenos Aires, Argentina.
Arch Argent Pediatr. 2021 Oct;119(5):e518-e521. doi: 10.5546/aap.2021.e518.
Acute suppurative thyroiditis is an infectious disease, uncommon in children, caused by various microorganisms, being bacteria the most frequently involved. The typical presentation includes the appearance of a tumor in combination with signs of swelling in the anterior aspect of the neck, which is painful on palpation and is associated with warmth and erythema. It usually moves with swallowing and the patient can suffer fever, dysphagia or dhysfonia. In children, congenital anomalies can lead to the gland's infection, and the surgical excision of them is important to prevent recurrency. A quick diagnosis, based on clinical manifestations and imaging studies, is necessary to install an adequate antibiotic treatment. We present the case of a 3-year-old patient, who was previously healthy, with a painful left cervical tumor associated with fever. During the hospitalization, we reached the diagnosis of acute suppurative thyroiditis caused by an underlying pyriform sinus fistula.
急性化脓性甲状腺炎是一种传染病，在儿童中并不常见，由多种微生物引起，其中细菌最为常见。典型表现包括出现肿块并伴有颈部前方肿胀迹象，触诊时疼痛，伴有发热和红斑。它通常随吞咽动作移动，患者可能会发烧、吞咽困难或声音嘶哑。在儿童中，先天性异常可导致腺体感染，手术切除这些异常对于预防复发很重要。基于临床表现和影像学检查进行快速诊断，对于进行适当的抗生素治疗是必要的。我们报告一例3岁患者的病例，该患者此前身体健康，出现伴有发热的左侧颈部疼痛性肿块。在住院期间，我们诊断为由潜在的梨状窦瘘引起的急性化脓性甲状腺炎。
