Venkataraman Lekhya, Saravanam Prasanna Kumar, Jayagandhi Sathish Kumar, Dhanapal Pradeep
ENT, Sri Ramachandra Medical College and Research Institute, Chennai, Tamil Nadu, India
ENT, Head and Neck Surgery, Sri Ramachandra University Medical College, Chennai, India.
BMJ Case Rep. 2023 Feb 21;16(2):e252948. doi: 10.1136/bcr-2022-252948.
Isolated thyroid abscess is a rare entity in early childhood. Among thyroid disorders, thyroid abscess or acute suppurative thyroiditis constitutes about 0.7%-1% of all cases. The thyroid gland is normally resistant to infections due to its well-enveloped capsule, rich blood supply, and high iodine content.A child presented with tender neck swelling accompanied by fever for 3 days. Ultrasound of the neck showed features suggestive of left parapharyngeal abscess. Laboratory parameters including thyroid function test were within normal limits. Contrast-enhanced CT of the neck was done and showed an isolated thyroid abscess with no other abnormalities. The patient was started on intravenous antibiotics followed by incision and drainage of the abscess. The child improved symptomatically. This report discusses the differential diagnosis and management of this rare entity.
孤立性甲状腺脓肿在儿童早期是一种罕见的疾病。在甲状腺疾病中，甲状腺脓肿或急性化脓性甲状腺炎约占所有病例的0.7%-1%。甲状腺通常因包膜完整、血供丰富和碘含量高而不易感染。一名儿童出现颈部压痛性肿胀并伴有发热3天。颈部超声显示提示左咽旁脓肿的特征。包括甲状腺功能检查在内的实验室参数均在正常范围内。进行了颈部增强CT检查，显示为孤立性甲状腺脓肿，无其他异常。患者开始静脉使用抗生素，随后进行脓肿切开引流。患儿症状有所改善。本报告讨论了这种罕见疾病的鉴别诊断和治疗。
