急性化膿性甲狀腺炎－病例報告

Acute Suppurative Thyroiditis Case Report

劉復國(Fu-Kuo Liu) ； 邊子揚(Chey-Yung Ben) ； 劉忠武(Chung-Wu Liu)

《Journal of Medical Sciences》 7卷4期 (1987/01) Pp. 241-244

摘要

一位七歲男孩因頸部腫塊，喉痛入院，經一系列檢查與腫塊膿液抽取，培養得到貝他型溶血性鏈球菌，證實為極少見之化膿性甲狀腺炎。從西元1900年迄今，全世界文版報告之此類疾病僅有153例，因屬罕見，特提出報告。

關鍵字

急性化膿性甲狀腺炎 ； 甲狀腺瘻管

並列摘要

Acute suppurative thyroiditis (A.S.T.) is an uncommon clinical entity of thyroid inflammatory disease. Since 1900 there are only 153 cases of bacterial thyroid infection have been reported, especially during the childhood period. The clinical manifestations are abrupt onset of neck mass, combined with localized erythema, swelling, heat and tenderness, dyspnea and dysphagia. Patients always exist the congenital thyroid fistula, once had respiratory tract infection or other sites infection may induce the disease. It must receive complete check up and treatment, otherwise it may be frequently recurrent. We hereby report this special case of A.S.T., admitted due to neck mass, sore throat and dyspnea, and after a series of examination, the disease was proved. The purpose of this paper is to emphasize the etiology of thyroid suppuration and to discuss predisposing factors, clinical presentation and potential complications. We hope to remind clinicians by this event and the management of such cases.

並列關鍵字

Acute suppurative thyroiditis ； Thyroid fistula