成年人急性化脓性甲状腺炎两例报道并文献复习

doi:10.3969/j.issn.1007-9572.2016.26.021

中国全科医学 ›› 2016, Vol. 19 ›› Issue (26): 3231-3233.DOI: 10.3969/j.issn.1007-9572.2016.26.021

成年人急性化脓性甲状腺炎两例报道并文献复习

何晓东，曹冰，张明琛，伊力多斯·阿里什，曾小云，阿不力克木·吐尔地，朱筠

830054新疆乌鲁木齐市，新疆医科大学第一附属医院内分泌科通信作者：曾小云，830054新疆乌鲁木齐市，新疆医科大学第一附属医院内分泌科；E-mail:zxyttkl@163.com

出版日期:2016-09-15 发布日期:2026-01-15

Acute Suppurative Thyroiditis in Adult:Two Cases Report and Literature Review

HE Xiao-dong，CAO Bing，ZHANG Ming-chen,Yilidoss·El Arish,ZENG Xiao-yun,Abulikemu·Turdi,ZHU Jun

Department of Endocrinology,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China Corresponding author：ZENG Xiao-yun,Department of Endocrinology,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China；E-mail:zxyttkl@163.com

Published:2016-09-15 Online:2026-01-15

分享到

摘要/Abstract

摘要： 急性化脓性甲状腺炎是一种临床少见的甲状腺非特异性感染性炎症。本文报道两例成年人急性化脓性甲状腺炎的诊治过程，并复习相关文献，讨论本病的临床管理。此两例患者均为年轻女性，均首先表现为颈部疼痛、甲状腺左叶肿大及发热。明确诊断后，两例患者均给予抗生素治疗，症状及体征迅速消失。随访期间未见复发。

关键词: 甲状腺炎,化脓性, 病例报告, 历史文献

Abstract: Acute suppurative thyroiditis is a rare nonspecific infective inflammation.Herein the diagnosis and treatment courses of two cases were reported in this paper,relevant literatures were reviewed,and its clinical management was discussed.These patients were young females presenting firstly as pain in neck,swelling in the left lobe of thyroid and fever.After the diagnosis was established,both were treated with antibiotics and their symptoms and signs disappeared rapidly.During the period of follow-up,recurrence did not occur.

Key words: Thyroiditis,suppurative, Case reports, Historical article

何晓东, 曹冰, 张明琛, 伊力多斯·阿里什, 曾小云, 阿不力克木·吐尔地, 朱筠. 成年人急性化脓性甲状腺炎两例报道并文献复习[J]. 中国全科医学, 2016, 19(26): 3231-3233.

HE Xiao-dong, CAO Bing, ZHANG Ming-chen, Yilidoss·El Arish, ZENG Xiao-yun, Abulikemu·Turdi, ZHU Jun. Acute Suppurative Thyroiditis in Adult:Two Cases Report and Literature Review[J]. Chinese General Practice, 2016, 19(26): 3231-3233.

参考文献

［1］PEARCE E N,FARWELL A P,BRAVERMAN L E.Thyroiditis［J］.N Engl J Med,2003,348（26）:2646-2655. ［2］AL-DAJANI N,WOOTTON S H．Cervical lymphadenitis,suppurative parotitis,thyroiditis,and infected cysts［J］.Infect Dis Clin North Am,2007,21（2）:523-541,ⅷ. ［3］MIYAUCHI A,MATSUZUKA F,KUMA K,et al.Piriform sinus fistula:an underlying abnormality common in patients with acute suppurative thyroiditis［J］.World J Surg,1990,14（3）:400-405. ［4］SNIEZEK J C,FRANCIS T B.Inflammatory thyroid disorders［J］.Otolaryngol Clin North Am,2003,36（1）:55-71. ［5］NISHIHARA E,MIYAUCHI A,MATSUZUKA F,et al.Acute suppurative thyroiditis after fine-needle aspiration causing thyrotoxieosis［J］.Thyroid,2005,15（10）:1183-1187. ［6］DUNHAM B,NICOL T L,ISHII M,et al.Suppurative thyroiditis［J］.Lancet,2006,368（9548）:1742. ［7］YUNG B C,LOKE T K,FAN W C,et al.Acute suppurative thyroiditis due to foreign body-induced retropharyngeal abscess presented as thyrotoxicosis［J］.Clin Nucl Med,2000,25（4）:249-252. ［8］GOLSHAN M M,MCHENRY C R,DE VENTE J,et al.Acute suppurative thyroiditis and necrosis of the thyroid gland:a rare endocrine manifestation of acquired immunodeficiency syndrome［J］.Surgery，1997，121（5）:593-596. ［9］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. ［10］ROBERTSON W S.Acute inflammation of the thyroid gland［J］.Lancet,1911,177（4571）:953-954. ［11］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. ［12］WERNER S C,INGBAR S H,BRAVERMAN L E,et al.Werner ＆ Ingbar’s the thyroid:a fundamental and clinical text［M］.8th ed.Philadelphia：Lippincott Williams ＆ Wilkins，2000. ［13］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. ［14］KIM K H,SUNG M W,KOH T Y,et al.Pyriform sinus fistula:management with chemocauterization of the internal opening［J］.Ann Otol Rhinol Laryngol,2000,109（5）:452-456. ［15］MIYAUCHI A,TOMODA C,URUNO T,et al.Computed tomography scan under a trumpet maneuver to demonstrate piriform sinus fistulae in patients with acute suppurative thyroiditis［J］.Thyroid,2005,15（15）:1409-1413. ［16］MIYAUCHI A,INOUE H,TOMODA C,et al.Evaluation of chemocauterization treatment for obliteration of pyriform sinus fistula as a route of infection causing acute suppurative thyroiditis［J］.Thyroid,2009,19（7）:789-793.

[1]	李杰, 姜岳, 陈怡涵. 应用CAPDCA个体化健康教育模式管理血糖控制不佳的老年糖尿病患者案例分享[J]. 中国全科医学, 2026, 29(04): 538-544.
[2]	罗原, 徐志杰, 夏瑀, 石佳娜, 蒋志志, 周馨媚, 赵洋, 童钰铃. 共病药物治疗决策——全科医生接诊病案研究[J]. 中国全科医学, 2025, 28(01): 119-124.
[3]	曾柳钰, 杨秀芳. 新生儿Beckwith-Wiedemann综合征一例报道及文献复习[J]. 中国全科医学, 2024, 27(36): 4615-4620.
[4]	包易如, 包寿乾, 张朝晖, 张银川. 以腰膝痛、腹胀便秘为首发症状的一例先天性聋哑症破伤风感染案例报道并文献复习[J]. 中国全科医学, 2023, 26(24): 3074-3078.
[5]	陈波, 刘青. 毛发鼻指（趾）骨综合征合并生长激素缺乏症一例并文献复习[J]. 中国全科医学, 2023, 26(21): 2686-2689.
[6]	饶玉凤, 蒙丽恒, 周嘉, 梁杏欢, 黄振兴, 秦映芬. "社会性别男性"先天性肾上腺皮质增生症合并肾上腺巨大占位一例并文献复习[J]. 中国全科医学, 2023, 26(21): 2690-2694.
[7]	郭婷, 张建, 丁樱, 杨晓青, 翟文生, 宋纯东, 张霞, 张博, 高旭光, 刘丽雅. COL4A4基因新突变致常染色体显性遗传Alport综合征一例并文献复习[J]. 中国全科医学, 2023, 26(18): 2306-2310.
[8]	孙涛, 彭映潮, 史卓, 高春林, 夏正坤. GREB1L基因突变致后天性单侧肾萎缩一例报道并文献复习[J]. 中国全科医学, 2023, 26(08): 1028-1030.
[9]	公瑞, 张玥, 程志新, 唐卫荷. 以静脉肢体坏疽为特点的静脉血栓栓塞症并肝素诱导性血小板减少症的中西医结合治疗一例报道[J]. 中国全科医学, 2023, 26(06): 769-774.
[10]	孙小玲, 李志军. 先天性左侧颈内动脉缺失继发帕金森综合征一例并文献复习[J]. 中国全科医学, 2023, 26(03): 386-390.
[11]	杨艳艳, 王新玲, 李娜, 王蓓, 段晓妍, 张蕴霞. 取环致宫腔化脓性感染引发腰椎间盘炎一例报道并文献复习[J]. 中国全科医学, 2022, 25(36): 4573-4577.
[12]	李淑英, 林颖敏, 王敏. Cronkhite-Canada综合征三例报道并文献复习[J]. 中国全科医学, 2022, 25(33): 4210-4216.
[13]	董立朋, 程金明, 楚宝, 刘志娟, 赵景茹, 李俐涛. 慢性蝶窦炎致海绵窦血栓性静脉炎伴颈内动脉血栓形成和多发脑梗死一例报道并文献复习[J]. 中国全科医学, 2022, 25(27): 3452-3458.
[14]	白云, 王鼎鑫, 孙延召, 郑吉敏, 张建, 王玉珍, 刘改芳. 恶性高血压致急性胰腺梗死一例报道[J]. 中国全科医学, 2022, 25(23): 2942-2946.
[15]	袁海霞, 贺春燕, 张晶, 周锋. 甲状腺毒性周期性麻痹患者反跳性高钾血症三例报道并文献复习[J]. 中国全科医学, 2022, 25(15): 1910-1913.

成年人急性化脓性甲状腺炎两例报道并文献复习

Acute Suppurative Thyroiditis in Adult:Two Cases Report and Literature Review

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

留言