上海交通大学学报（医学版）

上海交通大学学报（医学版） >

2022 , Vol. 42 >Issue 10: 1504 - 1510

DOI: https://doi.org/10.3969/j.issn.1674-8115.2022.10.018

病例报告

急性化脓性甲状腺炎1例报道并文献复习

  • 王娟 ,
  • 陈其谋 ,
  • 刘其聪 ,
  • 陈光敏 ,
  • 蒋鹏 ,
  • 张瑞 ,
  • 周厚地
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  • 重庆医科大学附属大学城医院内分泌（代谢）科，重庆 401331
王 娟（1981—），女，主治医师，硕士；电子信箱：1013618537@qq.com。
周厚地，电子信箱：cqmemji@126.com。

收稿日期: 2022-03-01

  录用日期: 2022-06-18

  网络出版日期: 2022-12-02

基金资助

重庆市教委科学技术研究项目(KJQN202000447)

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Acute suppurative thyroiditis: a case report and literature review

  • Juan WANG ,
  • Qimou CHEN ,
  • Qicong LIU ,
  • Guangmin CHEN ,
  • Peng JIANG ,
  • Rui ZHANG ,
  • Houdi ZHOU
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  • Department of Endocrinology, University-Town Hospital of Chongqing Medical University, Chongqing 401331, China
ZHOU Houdi, E-mail: cqmemji@126.com.

Received date: 2022-03-01

  Accepted date: 2022-06-18

  Online published: 2022-12-02

Supported by

Scientific and Technological Research Program of Chongqing Municipal Education Commission(KJQN202000447)

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摘要

急性化脓性甲状腺炎（acute suppurative thyroiditis，AST）是一种极少见且可能致命的甲状腺疾病。该文报道了1名以“咽痛1月伴左侧颈部包块2周”为主要表现的病例，其临床表现不典型，治疗初期被误认为亚急性甲状腺炎，曾予糖皮质激素治疗；后因疗效不佳，行超声引导下细针穿刺活检后，明确了AST的诊断。与此同时，该文就历年来年龄≥50岁的AST患者的特点进行分析。

关键词： 急性化脓性甲状腺炎; 亚急性甲状腺炎; 超声引导下细针穿刺

本文引用格式

王娟 , 陈其谋 , 刘其聪 , 陈光敏 , 蒋鹏 , 张瑞 , 周厚地 . 急性化脓性甲状腺炎1例报道并文献复习[J]. 上海交通大学学报（医学版）, 2022 , 42(10) : 1504 -1510 . DOI: 10.3969/j.issn.1674-8115.2022.10.018

Abstract

Acute suppurative thyroiditis (AST) is a rare and possibly fatal thyroid disease. A case with "sore throat one month accompanied by left neck mass for two weeks" as the main presentation was reported. The clinical presentation was atypical, and was mistaken for subacute thyroiditis. She was treated with glucocorticoid. The diagnosis of AST was confirmed after ultrasound-guided fine needle aspiration, due to poor efficacy. The features of AST patients over the age of fifty years were also analyzed.

Key words： acute suppurative thyroiditis (AST); subacute thyroiditis; ultrasound-guided fine needle aspiration

参考文献

1 PAES J E, BURMAN K D, COHEN J, et al. Acute bacterial suppurative thyroiditis: a clinical review and expert opinion[J]. Thyroid, 2010, 20(3): 247-255.
2 PEREIRA O, PRASAD D S, BAL A M, et al. Fatal descending necrotizing mediastinitis secondary to acute suppurative thyroiditis developing in an apparently healthy woman[J]. Thyroid, 2010, 20(5): 571-572.
3 廖二元. 内分泌代谢病学[M]. 3版. 北京: 人民卫生出版社, 2012: 496.
3 LIAO E Y. Endocrinology and metabolism[M]. Version 3. Beijing: People's Medical Publishing House, 2012: 496.
4 SPITZER M, ALEXANIAN S, FARWELL A P. Thyrotoxicosis with post-treatment hypothyroidism in a patient with acute suppurative thyroiditis due to Porphyromonas[J]. Thyroid, 2012, 22(1): 97-100.
5 SHRESTHA R T, HENNESSEY J. Acute and subacute, and Riedel's thyroiditis [EB/OL].(2015-12-08). http://creativecommons.org/licenses/by-nc-nd/2.0/.
6 MIYAUCHI A, MATSUZUKA F, KUMA K, et al. Piriform sinus fistula and the ultimobranchial body[J]. Histopathology, 1992, 20(3): 221-227.
7 OHNO Y, ILO K, IMAMURA M, et al. A case of acute suppurative thyroiditis associated with thyroid papillary carcinoma[J]. Nihon Naibunpi Gakkai Zasshi, 1993, 69(9): 1003-1012.
8 董来荣, 周礼湘, 陆临渊. 化脓性甲状腺炎3例[J]. 医学理论与实践, 1997, 10(11): 524.
8 DONG L R, ZHOU L X, LU L Y. Three cases of suppurative thyroiditis[J]. Med Theory and Prac, 1997, 10(11): 524.
9 YU E H, KO W C, CHUANG Y C, et al. Suppurative Acinetobacter baumanii thyroiditis with bacteremic pneumonia: case report and review[J]. Clin Infect Dis, 1998, 27(5): 1286-1290.
10 周全胜, 杨立宇, 陈文学. 急性化脓性甲状腺炎一例[J]. 北京军区医药, 2001, 13(3): 226.
10 ZHOU Q S, YANG L Y, CHEN W X. Acute suppurative thyroiditis: a case report[J]. Beijing Jun Qu Yi Yao, 2001, 13(3): 226.
11 石光锋, 王晓霜, 魏本尊, 等. 甲状腺脓肿2例[J]. 中国普通外科杂志, 2001, 10(5): 428.
11 SHI G F, WANG X S, WEI B Z, et al. Abscess of the thyroid (a report of 2 cases) [J]. Chin J Gen Surg, 2001, 10(5): 428.
12 SU D H, HUANG T S. Acute suppurative thyroiditis caused by Salmonella typhimurium: a case report and review of the literature[J]. Thyroid, 2002, 12(11): 1023-1027.
13 王孟春, 魏秀宏, 薛洪千, 等. 急性化脓性甲状腺炎5例诊治体会[J]. 中国普通外科杂志, 2003, 12(5): 389-390.
13 WANG M C, WEI X H, XUE H Q, et al. Acute suppurafive thyroiditis:a report of 5 cases[J]. Chin J Gen Surg, 2003, 12(5): 389-390.
14 SICILIA V, MEZITIS S. A case of acute suppurative thyroiditis complicated by thyrotoxicosis[J]. J Endocrinol Invest, 2006, 29(11): 997-1000.
15 ILYIN A, ZHELONKINA N, SEVERSKAYA N, et al. Nonsurgical management of thyroid abscess with sonographically guided fine needle aspiration[J]. J Clin Ultrasound, 2007, 35(6): 333-337.
16 TIEN K J, CHEN T C, HSIEH M C, et al. Acute suppurative thyroiditis with deep neck infection: a case report[J]. Thyroid, 2007, 17(5): 467-469.
17 WU S W, CHANG H R, TSAO S M, et al. A Salmonella infection complicated with suppurative thyroiditis and ruptured aortic mycotic aneurysm in a renal transplant recipient[J]. Transplant Proc, 2008, 40(10): 3759-3763.
18 LIN Z H, TENG Y S, LIN M. Acute thyroid abscess secondary to oesophageal perforation[J]. J Int Med Res, 2008, 36(4): 860-864.
19 BUKVIC B, DIKLIC A, ZIVALJEVIC V. Acute suppurative Klebsiella thyroiditis: a case report[J]. Acta Chir Belg, 2009, 109(2): 253-255.
20 INOUE K, KOZAWA J, FUNAHASHI T, et al. Right-sided acute suppurative thyroiditis caused by infectious endocarditis[J]. Intern Med, 2011, 50(23): 2893-2897.
21 缪巍. 化脓性甲状腺炎合并脓肿形成患者一例治疗体会[J]. 医学信息(中旬刊), 2011, 24(8): 4139.
21 MIAO W. Treatment experience of a patient with suppurative thyroiditis complicated with abscess formation [J]. Med Inf (Mid issue), 2011, 24(8): 4139.
22 张殿尧, 吴香萍, 刘卫中. 急性化脓性甲状腺炎合并甲状腺癌1例[J]. 河北医学, 2012, 18(9): 1345-1346.
22 ZHANG D Y, WU X P, LIU W Z. Acute suppurative thyroiditis complicated with thyroid carcinoma: a case report [J]. Hebei Med, 2012, 18(9): 1345-1346.
23 KIM B S, NAM K W, KIM J E, et al. A case of acute suppurative thyroiditis with thyrotoxicosis in an elderly patient[J]. Endocrinol Metab (Seoul), 2013, 28(1): 50-54.
24 N'GATTIA K V, KACOUCHIA N B, VROH B T, et al. Suppurative thyroiditis and HIV infection[J]. Eur Ann Otorhinolaryngol Head Neck Dis, 2015, 132(6): 371-372.
25 SEN S, RAMAKANT P, PAUL M J, et al. Acute suppurative thyroiditis secondary to urinary tract infection by E. coli: a rare clinical scenario[J]. BMJ Case Rep, 2016, 2016: bcr2015213231.
26 龙娟, 陈小燕, 邓顺有, 等. 被误诊的“急性化脓性甲状腺炎”报道3例[J]. 广州医科大学学报, 2017, 45(1): 95-96.
26 LONG J, CHEN X Y, DENG S Y, et al. Misdiagnosis of acute suppurative thyroiditis: a report of 3 cases [J]. Acad J Guangzhou Med Univ, 2017, 45(1): 95-96.
27 邱夏, 章佳新. 急性化脓性甲状腺炎误诊1例[J]. 中国现代普通外科进展, 2017, 20(3): 250, 252.
27 QIU X, ZHANG J X. Misdiagnosis of acute suppurative thyroiditis: a case report [J]. Chin J Curr Adv Gen Surg, 2017, 20(3): 250-252.
28 黄文辉, 林枝兵, 钱小容, 等. 临床药师参与一例误诊为亚甲炎的急性甲状腺炎病人治疗的实践与体会[J]. 药学服务与研究, 2017, 17(6): 426, 439, 444, 465.
28 HUANG W H, LIN Z B,QIAN X R, et al. Clinical pharmacist participation in the treatment of a case of acute thyroiditis misdiagnosed as subthyroiditis [J]. Pharm Care Res, 2017, 17(6): 426, 439, 444, 465.
29 AKUZAWA N, YOKOTA T, SUZUKI T, et al. Acute suppurative thyroiditis caused by Streptococcus agalactiae infection: a case report[J]. Clin Case Rep, 2017, 5(8): 1238-1242.
30 TAN J Y, SHEN J, FANG Y, et al. A suppurative thyroiditis and perineal subcutaneous abscess related with Aspergillus fumigatus: a case report and literature review[J]. BMC Infect Dis, 2018, 18(1): 702.
31 KARANIKOLIC A, DJORDJEVIC M, DJORDJEVIC N, et al. Acute suppurative thyroiditis with thyroid abscess and bilateral pneumonia: a case report[J]. Arch Iran Med, 2018, 21(2): 79-81.
32 CVETKOVA M, BITOSKA I, POPOSKI K, et al. Acute thyroiditis associated with brucellosis: a case report[J]. Pril (Makedon Akad Nauk Umet Odd Med Nauki), 2019, 40(2): 113-117.
33 王广亭, 方迎昕, 邹运, 等. 疑难病例析评第460例发热—颈前疼痛—甲状腺肿大[J]. 中华医学杂志, 2019, 99(10): 787-789.
33 WANG G T, FANG Y X, ZOU Y, et al. Analysis of the 460th case of febrile-anterior neck pain-goiter[J]. Nati Med J China, 2019, 99(10): 787-789.
34 FALHAMMAR H, WALLIN G, CALISSENDORFF J. Acute suppurative thyroiditis with thyroid abscess in adults: clinical presentation, treatment and outcomes[J]. BMC Endocr Disord, 2019, 19(1): 130.
35 VENGATHAJALAM S, RETINASEKHARAN S, MAT LAZIM N, et al. Salmonella thyroid abscess treated by serial aspiration: case report and literature review[J]. Indian J Otolaryngol Head Neck Surg, 2019, 71(Suppl 1): 823-826.
36 DAI L, LIN S T, LIU D Y, et al. Acute suppurative thyroiditis with thyroid metastasis from oesophageal cancer[J]. Endokrynol Pol, 2020, 71(1): 106-107.
37 PRETE A, COSENTINO G, MANETTI L, et al. Firm mass in thyroid of an elderly patient: not always cancer[J]. Endocrinol Diabetes Metab Case Rep, 2020, 2020: EDM200137.
38 ALYOUSEF M K, AL-SAYED A A, AL AFIF A, et al. A pain in the neck: Salmonella spp. as an unusual cause of a thyroid abscess. A case report and review of the literature[J]. BMC Infect Dis, 2020, 20(1): 436.
39 MISHRA A, ZOHAIB M, FAROOQ N M, et al. A rare and challenging case of neck infection-thyroid abscess[J]. Cureus, 2021, 13(6): e15527.
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