Recurrent Acute Suppurative Thyroiditis in A Patient without Pyriform Sinus Fistula A Case Report
نویسندگان
چکیده
Acute suppurative thyroiditis is a rare disorder that causes severe pain, tenderness, redness and fluctuation in the region of the thyroid gland. A 52-year-old healthy woman had acute onsets of left neck painful swelling on two occasions, three years ago and one year ago, respectively. A sonography examination revealed a hypoechogenic area on the left lobe of thyroid, about 2.28 x 2.1cm in size; a fineneedle aspiration biopsy showed neutrophil infiltration. Appropriate antibiotic treatment and incision and drainage of mass relieved the symptoms of the infection. The patient had no history of diabetes mellitus and no sign of pyriform sinus fistula on barium swallow study; it is unusual to develop recurrent suppurative thyroiditis in such a patient. ( J Intern Med Taiwan 2007; 18: 134-139 )
منابع مشابه
Acute Suppurative Thyroiditis with Thyroid Abscess (Case Report and Review of the Literature)
Introduction: Thyroid gland is well known to resist infections by rich blood supply and lymphatic drainage, high glandular content of iodine which can be bactericidal and separation of the gland from other structures of neck. Primary thyroid abscess resulting from acute suppurative thyroiditis (AST) is an unusual type of head and neck infection and it is a rare condotion in children so that p...
متن کاملPyriform sinus fistula.
A 2-year-old boy with recurrent abscesses of on the left side of the neck due to pyriform sinus fistula is presented. Pyriform sinus fistula may cause acute suppurative thyroiditis and induce anterior cervical swelling, as in this case. Cervical computed tomography and barium swallow X-ray examination are important methods to diagnose of pyriform sinus fistula. Nearly all reported pyriform sinu...
متن کاملThe emerging echogenic tract sign of pyriform sinus fistula: an early indicator in the recovery stage of acute suppurative thyroiditis.
AST is commonly associated with pyriform sinus-thyroid fistula in children. Radiologic findings of AST are documented in a few reports. We report a new sign we term the "emerging echogenic tract sign," which reflects a patent air-containing pyriform sinus-thyroid fistula on follow-up US. Recognition of this sign is an important finding suggesting an associated pyriform sinus-thyroid fistula in ...
متن کاملA Case of Pyriform Sinus Fistula Infection with Double Tracts
Pyriform sinus fistula is a rare clinical entity and the precise origin remains controversial. The fistula is discovered among patients with acute suppurative thyroiditis or deep neck infection of the left side of the neck and is usually located in the left pyriform sinus. To the best of our knowledge, only a single tract has been reported to be responsible for pyriform sinus fistula infection....
متن کاملRefractory acute suppurative thyroiditis secondary to pyriform sinus fistula
Acute suppurative thyroiditis is a rare disease because the thyroid gland is remarkably resistant to infection. We present a 2-year-old girl with refractory acute suppurative thyroiditis due to a pyriform sinus fistula (PSF). She complained of fever and painful anterior neck swelling. Her condition did not completely improved by multiple parenteral antibiotics along with incision and drainage. ...
متن کامل