Acute suppurative thyroiditis in a 10-year-old child

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详细

BACKGROUND: Acute suppurative thyroiditis in children is a rare and potentially life-threatening thyroid disease that requires rapid diagnostics and treatment.

CLINICAL CASE DESCRIPTION: A clinical case of a 10-year-old girl with a thyroid abscess is described. She had fever, painful neck swelling, sore throat, tachycardia, restricted neck movement, and dysphagia for 6–7 days. The treatment consisted of antibiotic therapy, incision and drainage of the abscess using local ozone therapy. It was found that causative agents were Staphylococcus aureus and Escherichia coli. The girl had a follow-up examination in 9 months after the discharge — there were no signs of thyroid pathology.

CONCLUSION: Although acute suppurative thyroiditis is extremely rare in children, it occurs sometimes. Since this condition may be associated with a piriform sinus fistula, the child must be examined for it because of the risk of recurrence.

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作者简介

Andrey Pisklakov

Omsk State Medical University

编辑信件的主要联系方式.
Email: pisklakovomsk@mail.ru
ORCID iD: 0000-0001-7594-7723
SPIN 代码: 8579-9842

MD, Dr. Sci. (Medicine), Professor

俄罗斯联邦, Omsk

Vjacheslav Ponomarev

Omsk State Medical University

Email: pvikust@yandex.ru
ORCID iD: 0000-0002-2555-7994
SPIN 代码: 6157-7334

MD, Dr. Sci. (Medicine), Professor

俄罗斯联邦, Omsk

Aset Isakov

Regional Children’s Clinical Hospital, Omsk

Email: astis@mail.ru
ORCID iD: 0009-0009-0936-5325
俄罗斯联邦, Omsk

Igor’ Larkin

Omsk State Medical University

Email: larkinomsk@mail.ru
ORCID iD: 0000-0002-9872-9881
SPIN 代码: 1099-9439

MD, Dr. Sci. (Medicine), Professor

俄罗斯联邦, Omsk

Valery Larkin

Omsk State Medical University

Email: larkin_valery@mail.ru
ORCID iD: 0000-0002-6856-5062
SPIN 代码: 1853-5643

MD, Dr. Sci. (Medicine)

俄罗斯联邦, Omsk

Alexey Kalinichev

Omsk State Medical University

Email: akalinichev59@gmail.com
ORCID iD: 0000-0002-2534-6329
SPIN 代码: 3814-3364

MD, Dr. Sci. (Medicine), Professor

俄罗斯联邦, Omsk

Anatoly Lysov

Omsk State Medical University

Email: prof_lysov@mail.ru
ORCID iD: 0000-0002-2874-6686
SPIN 代码: 1047-1496

MD, Dr. Sci. (Medicine), Professor

俄罗斯联邦, Omsk

参考

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  12. Dedov II, Peterkova VA. Spravochnik detskogo endokrinologa. Moscow: Litterra; 2020. P: 109-125. EDN: QLZHZP

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2. Fig. 1. Appearance of the neck of the child with acute purulent thyroiditis and neck phlegmon.

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3. Fig. 2. Ultrasound examination of the thyroid gland. Abscess area is indicated by an arrow.

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4. Fig. 3. Magnetic resonance imaging of the neck before surgery. The abscess is indicated by an arrow.

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版权所有 © Pisklakov A.V., Ponomarev V.I., Isakov A.T., Larkin I.I., Larkin V.I., Kalinichev A.G., Lysov A.V., 2023

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