Acute Suppurative Thyroiditis Extending to Retropharyngeal Space: Report of 2 Cases.

Asimakis D Asimakopoulos, Eugénie Delaine, Avinash Beharry, Salim Bouayed, François Gorostidi
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Abstract

Acute suppurative thyroiditis (AST) is a rare endocrine emergency, typically of bacterial origin, that can lead to significant morbidity and life-threatening complications. It is far less common than other inflammatory thyroid conditions, such as subacute thyroiditis, and may mimic noninfectious inflammatory disorders. Case 1 describes a 40-year-old man with a 5-day history of anterior neck swelling and odynophagia. Physical examination and imaging confirmed AST with retropharyngeal space involvement. He was treated with broad-spectrum intravenous antibiotics and thyroid abscess aspiration. Case 2 involved a patient with an 11-day history of fever and odynophagia. Imaging, including computed tomography and neck ultrasound, revealed a left thyroid lobe abscess extending into the retropharyngeal space. Further evaluation led to the diagnosis of a fourth branchial cleft cyst and a left pyriform fossa sinus tract. A multidisciplinary approach successfully managed both the acute infection and the underlying anatomical anomaly. Retropharyngeal extension of suppurative thyroiditis is exceedingly rare but signifies a severe disease progression with complex clinical implications. This report highlights the need to consider suppurative thyroiditis in the differential diagnosis of midline cervical infections.

急性化脓性甲状腺炎延及咽后间隙2例报告。
急性化脓性甲状腺炎(AST)是一种罕见的内分泌急症,通常由细菌引起,可导致严重的发病率和危及生命的并发症。它远不如其他炎症性甲状腺疾病常见,如亚急性甲状腺炎,并可能模仿非感染性炎症疾病。病例1描述了一名40岁男性,前颈部肿胀和咽痛5天的病史。体格检查和影像学证实AST伴咽后间隙受累。给予广谱静脉注射抗生素及甲状腺脓肿抽吸治疗。病例2为11天发热和吞咽史的患者。影像包括电脑断层及颈部超音波显示左甲状腺叶脓肿延伸至咽后间隙。进一步的评估导致诊断第四鳃裂囊肿和左梨状窝窦束。多学科的方法成功地处理了急性感染和潜在的解剖异常。化脓性甲状腺炎咽后延伸是非常罕见的,但标志着严重的疾病进展与复杂的临床意义。本报告强调需要考虑化脓性甲状腺炎在鉴别诊断宫颈中线感染。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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