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小儿甲状腺脓肿一例:一种罕见病例。

A Case of Pediatric Thyroid Abscess: A Rare Entity.

作者信息

Maldhure Swati, Golhar Prajakta, Dhawan Vaishali B

机构信息

Otorhinolaryngology, Datta Meghe Medical College, Nagpur, India.

Sawangi, Wardha, India Otorhinolaryngology, Jawaharlal Nehru Medical College.

出版信息

Indian J Otolaryngol Head Neck Surg. 2023 Mar 4;75(3):1-4. doi: 10.1007/s12070-023-03580-0.

DOI:10.1007/s12070-023-03580-0
PMID:37362138
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9985088/
Abstract

Acute Suppurative Thyroiditis (AST) is a rare, but potentially fatal emergency in the pediatric age group. With a mortality of 3.7% to 9% in AST, it is imperative to make a timely diagnosis and start treatment accordingly. In this case report, we discuss a case of thyroid abscess in a six-year-old, which was diagnosed on ultrasonography (USG)(machine: GE logic 9 USG, Milwaukee) and Contrast-Enhanced Computed Tomography (CECT) (machine: 32 slice GE revolution act machine, Milwaukee) of the neck. With this article, we attempt to stress upon the need for quick and accurate diagnosis and timely intervention to prevent complications as the condition is rare and unusual.

摘要

急性化脓性甲状腺炎(AST)在儿童年龄组中是一种罕见但可能致命的急症。AST的死亡率为3.7%至9%,因此及时诊断并相应地开始治疗至关重要。在本病例报告中,我们讨论了一例6岁儿童甲状腺脓肿的病例,该病例通过颈部超声检查(USG)(仪器:通用电气逻辑9型超声仪,密尔沃基)和对比增强计算机断层扫描(CECT)(仪器:32层通用电气Revolution ACT型仪器,密尔沃基)得以确诊。通过本文,我们试图强调由于该病症罕见且不常见,需要快速准确的诊断和及时的干预以预防并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bea6/10447639/996963dbee69/12070_2023_3580_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bea6/10447639/f90f99fbf2d2/12070_2023_3580_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bea6/10447639/3d20b677e6a4/12070_2023_3580_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bea6/10447639/996963dbee69/12070_2023_3580_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bea6/10447639/f90f99fbf2d2/12070_2023_3580_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bea6/10447639/3d20b677e6a4/12070_2023_3580_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bea6/10447639/996963dbee69/12070_2023_3580_Fig3_HTML.jpg

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本文引用的文献

1
Suppurative thyroiditis: Systematic review and clinical guidance.化脓性甲状腺炎:系统评价与临床指导。
Clin Endocrinol (Oxf). 2021 Aug;95(2):253-264. doi: 10.1111/cen.14440. Epub 2021 Mar 2.
2
Idiopathic Thyroid Abscess - A Rare Occurrence.特发性甲状腺脓肿——一种罕见病例
Eur Endocrinol. 2019 Apr;15(1):42-43. doi: 10.17925/EE.2019.15.1.42. Epub 2019 Apr 12.
3
Thyroid Abscess: Challenges in Diagnosis and Management.甲状腺脓肿:诊断与治疗中的挑战
J Investig Med High Impact Case Rep. 2018 May 25;6:2324709618778709. doi: 10.1177/2324709618778709. eCollection 2018 Jan-Dec.
4
Efficacy of fine-needle aspiration cytology for a thyroid abscess in children: Two case reports.细针穿刺细胞学检查对儿童甲状腺脓肿的疗效:两例病例报告
Exp Ther Med. 2015 Mar;9(3):860-862. doi: 10.3892/etm.2015.2189. Epub 2015 Jan 19.
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Pediatric recurrent acute suppurative thyroiditis of third branchial arch origin--our experience in 17 cases.源于第三鳃弓的小儿复发性急性化脓性甲状腺炎——我们17例病例的经验
Int J Pediatr Otorhinolaryngol. 2014 Nov;78(11):1953-7. doi: 10.1016/j.ijporl.2014.08.034. Epub 2014 Sep 1.
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Idiopathic thyroid abscess.特发性甲状腺脓肿
Int J Surg Case Rep. 2014;5(8):484-6. doi: 10.1016/j.ijscr.2014.05.019. Epub 2014 Jun 10.
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Acute suppurative thyroiditis with thyroid abscess: a case report and review of the literature.急性化脓性甲状腺炎伴甲状腺脓肿:一例病例报告及文献复习
Iran J Otorhinolaryngol. 2014 Jan;26(74):51-5.
8
First report of a thyroid abscess in the pediatric age group caused by Arcanobacterium haemolyticum.首例由溶血隐秘杆菌引起的小儿甲状腺脓肿报告。
J Infect Chemother. 2012 Aug;18(4):584-6. doi: 10.1007/s10156-011-0349-4.
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Suppurative thyroiditis in children: a management algorithm.儿童化脓性甲状腺炎:一种管理算法。
Pediatr Emerg Care. 2008 Nov;24(11):764-7. doi: 10.1097/PEC.0b013e31818c286a.