少女一过性甲状腺功能亢进伴发甲状腺脓肿:罕见病例报告与文献综述

Bablu K. Gaur, Shreyashi Jain, Aishna Tandon, Navya Jain
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引用次数: 0

摘要

目的 报告一例甲状腺脓肿并发甲状腺功能障碍的罕见病例,患者是一名甲状腺解剖结构正常的少女。病例介绍 一名 15 岁的少女因发热、咽痛和颈部肿胀就诊,病程长达 10 天。颈部对比增强计算机断层扫描显示,甲状腺左叶脓肿。她的促甲状腺激素(TSH)偏低,T3和T4水平升高。在此,我们报告了一例甲状腺脓肿并发一过性甲状腺功能亢进的病例,该病例发生在一名免疫功能正常的女孩身上,她在没有切开引流的情况下使用了父母的抗生素,并获得了成功。结论 儿童甲状腺脓肿可伴有甲状腺功能亢进。因此,必须对所有患有甲状腺脓肿的儿童进行监测,以防日后出现永久性甲状腺功能减退。重要的是要尽快诊断出这种情况,并开始适当的抗生素治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Thyroid abscess associated with transient hyperthyroidism in an adolescent girl: a rare case report and review of the literature
Objectives To report an unusual case of thyroid abscess associated with thyroid dysfunction in an adolescent girl who has a normal anatomic structure of the thyroid gland. Case presentation A 15-year-old adolescent girl presented with a history of fever, sore throat, and neck swelling for 10 days duration. Contrast-enhanced computed tomography neck showed findings suggestive of an abscess involving the left lobe of the thyroid gland. She had low TSH and elevated T3 and T4 levels. Here, we report a case of thyroid abscess associated with transient hyperthyroidism in an immunocompetent girl who was successfully managed with parental antibiotics without incision and drainage. Conclusions Thyroid abscess can present with hyperthyroidism in children. So it is important to monitor all children who have thyroid abscesses for the development of permanent hypothyroidism later on. It’s important to diagnose this condition as soon as possible and begin antibiotic therapy appropriately.
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