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勃兰登堡沙门氏菌:急性化脓性甲状腺炎的一种新病因。

Salmonella brandenburg: a novel cause of acute suppurative thyroiditis.

作者信息

Chiovato L, Canale G, Maccherini D, Falcone V, Pacini F, Pinchera A

机构信息

Istituto di Endocrinologia, University of Pisa, Italy.

出版信息

Acta Endocrinol (Copenh). 1993 May;128(5):439-42. doi: 10.1530/acta.0.1280439.

Abstract

A patient with suppurative thyroiditis due to infection with Salmonella brandenburg is reported. Localization of the infection occurred to a pre-existing thyroid nodule after Salmonella bacteremia. S. brandenburg was isolated in pure culture from the fluid obtained by needle aspiration of the suppurated thyroid nodule. Surgical drainage followed by subtotal thyroidectomy was required to cure the disease. No evidence of pyriform sinus fistula was found. Suppurative thyroiditis due to Salmonella ubiquitous serotypes is an extremely rare condition, and infection to the thyroid produced by S. brandenburg is reported now for the first time. Indeed, the isolation rate of S. brandenburg from all human sources is low, and this microorganism is an uncommon agent of bacteremia.

摘要

本文报告了一例因感染勃兰登堡沙门氏菌而导致化脓性甲状腺炎的患者。感染定位在沙门氏菌菌血症后已存在的甲状腺结节处。从化脓性甲状腺结节穿刺抽取的液体中纯培养分离出勃兰登堡沙门氏菌。需要手术引流并随后进行甲状腺次全切除术来治愈该疾病。未发现梨状窦瘘的证据。由无处不在的沙门氏菌血清型引起的化脓性甲状腺炎是一种极其罕见的病症,而由勃兰登堡沙门氏菌引起的甲状腺感染首次在此报告。事实上,从所有人类来源分离出勃兰登堡沙门氏菌的比率很低,并且这种微生物是一种不常见的菌血症病原体。

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