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一名五岁儿童的特发性无菌性甲状腺脓肿

An Idiopathic Sterile Thyroid Abscess in a Five-Year-Old Child.

作者信息

Mehmood Asim, Inam Rida, Ali Siddiqui Zeshan, E Kibria Rehan

机构信息

Internal Medicine, Shifa College of Medicine, Islamabad, PAK.

Internal Medicine, Shifa International Hospital, Islamabad, PAK.

出版信息

Cureus. 2024 Jun 12;16(6):e62257. doi: 10.7759/cureus.62257. eCollection 2024 Jun.

DOI:10.7759/cureus.62257
PMID:39006581
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11245177/
Abstract

We would like to share a case study of a five-year-old child who complained of a painful mass on the front of his neck, with a fever of 98°F. Sometimes thyroid abscesses may be overlooked due to their rarity and are lower down on our list of differential diagnoses. Neck ultrasonography confirmed our findings. A thorough analysis of the literature showed that causal bacteria are required for almost all abscesses. However, in our instance, the aspirated fluid culture revealed no growth, indicating that the abscess was sterile. When patients present with severe neck swelling, this case report emphasizes the significance of considering thyroid abscess as one of the differential diagnoses since early detection is critical to minimize the risk of complications.

摘要

我们想分享一个五岁儿童的病例研究,该儿童主诉颈部前方有疼痛性肿块,体温为98°F。有时甲状腺脓肿因其罕见性可能会被忽视,在我们的鉴别诊断清单中排在较靠后的位置。颈部超声检查证实了我们的发现。对文献的全面分析表明,几乎所有脓肿都需要有致病细菌。然而,在我们这个病例中,抽出液培养没有生长,表明脓肿是无菌的。当患者出现严重的颈部肿胀时,本病例报告强调了将甲状腺脓肿作为鉴别诊断之一的重要性,因为早期发现对于将并发症风险降至最低至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/562a/11245177/adf69850b57b/cureus-0016-00000062257-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/562a/11245177/adf69850b57b/cureus-0016-00000062257-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/562a/11245177/adf69850b57b/cureus-0016-00000062257-i01.jpg

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本文引用的文献

1
Giant Thyroid Gland Abscess Causing Upper Airway Obstruction: A Case Report.巨大甲状腺脓肿导致上呼吸道梗阻:一例报告
Int Med Case Rep J. 2024 May 3;17:409-415. doi: 10.2147/IMCRJ.S458035. eCollection 2024.
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Isolated thyroid abscess in early childhood.儿童期孤立性甲状腺脓肿
BMJ Case Rep. 2023 Feb 21;16(2):e252948. doi: 10.1136/bcr-2022-252948.
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Suppurative Thyroiditis: A Management Paradigm Based on Microbiology.化脓性甲状腺炎:基于微生物学的治疗模式。
Pediatr Emerg Care. 2021 Dec 1;37(12):e1416-e1418. doi: 10.1097/PEC.0000000000002062.
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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.
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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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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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Efficacy and Pitfalls of FNAC of Thyroid Lesions in Children and Adolescents.儿童及青少年甲状腺病变细针穿刺抽吸活检的有效性与陷阱
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A pain in the neck: thyroid abscess.令人头疼的问题:甲状腺脓肿
Am J Med. 2014 Mar;127(3):e5-6. doi: 10.1016/j.amjmed.2013.09.036. Epub 2013 Oct 29.
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Int J Pediatr Otorhinolaryngol. 2003 Dec;67(12):1375-8. doi: 10.1016/j.ijporl.2003.07.002.
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Thyroid abscess due to Acinetobacter calcoaceticus: case report and review of the causes of and current management strategies for thyroid abscesses.醋酸钙不动杆菌引起的甲状腺脓肿:病例报告及甲状腺脓肿病因与当前管理策略的综述
South Med J. 2003 Mar;96(3):300-7. doi: 10.1097/01.SMJ.0000051200.55168.1C.