Caseiro Alves M Eduarda, Nunes Ana, Galhardo Júlia
Pediatric Department, Hospital Dona Estefânia, Centro Hospitalar e Universitário de Lisboa Central, Lisbon, Portugal.
Radiology Department, Hospital Dona Estefânia, Centro Hospitalar e Universitário de Lisboa Central, Lisbon, Portugal.
Front Pediatr. 2023 Jul 7;11:1212767. doi: 10.3389/fped.2023.1212767. eCollection 2023.
This case report presents a 4 year-old-female patient with a neck mass who was diagnosed with an infected fourth branchial cleft cyst with left thyroid lobe involvement through fistulation. The case emphasizes the importance of considering uncommon etiologies, such as congenital anomalies, as a differential diagnosis when evaluating pediatric neck masses. The patient was prescribed broad-spectrum antibiotics, which led to the regression of the mass and inflammatory signs. Close follow-up in endocrinology and otorhinolaryngology appointments was maintained, and after 7 months, hypoplasia of the left lobe was observed. Thyroid function was reevaluated, and after two years, no recurrences were noted. The case highlights the significance of a comprehensive examination and assessment of corresponding clinical features, which can significantly reduce the rate of misdiagnoses and achieve an individualized diagnosis.
本病例报告介绍了一名4岁女性颈部肿块患者，该患者通过瘘管形成被诊断为感染性第四鳃裂囊肿并累及左甲状腺叶。该病例强调了在评估小儿颈部肿块时，将先天性异常等不常见病因作为鉴别诊断的重要性。患者接受了广谱抗生素治疗，肿块和炎症体征消退。在内分泌科和耳鼻喉科门诊进行了密切随访，7个月后观察到左叶发育不全。重新评估了甲状腺功能，两年后未发现复发。该病例突出了全面检查和评估相应临床特征的重要性，这可以显著降低误诊率并实现个体化诊断。
