Refractory acute suppurative thyroiditis secondary to pyriform sinus fistula
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Acute suppurative thyroiditis is a rare disease because the thyroid gland is remark- ably resistant to infection. We present a 2-year-old girl with refractory acute suppurative thyroiditis due to a pyriform sinus fistula (PSF). She complained of fever and painful anterior neck swelling. Her condition did not completely improved by multiple parenteral antibiotics along with incision and drainage. Barium esophagogram to detect PSF demonstrated no specific finding. Computed tomography scan showed air bubble superior to the left thyroid gland which indicated a possible fistula connected to the pyriform sinus. An intraoperative laryngoscopy revealed a 2-mm-sized fistula opening. The fistula was successfully treated by chemocauterization with trichloroacetic acid.
Abstract
Acute suppurative thyroiditis is a rare disease because the thyroid gland is remark- ably resistant to infection. We present a 2-year-old girl with refractory acute suppurative thyroiditis due to a pyriform sinus fistula (PSF). She complained of fever and painful anterior neck swelling. Her condition did not completely improved by multiple parenteral antibiotics along with incision and drainage. Barium esophagogram to detect PSF demonstrated no specific finding. Computed tomography scan showed air bubble superior to the left thyroid gland which indicated a possible fistula connected to the pyriform sinus. An intraoperative laryngoscopy revealed a 2-mm-sized fistula opening. The fistula was successfully treated by chemocauterization with trichloroacetic acid.
참고문헌 (9)
- Brook I, "Microbiology and management of acute suppurative thyroiditis in children", Int J Pediatr Otorhinolaryngol, 67, pp.447~451 (2003)
- Sai Prasad TR, "Acute suppurative thyroiditis in children secondary to pyriform sinus fistula", Pediatr Surg Int, 23, pp.779~783 (2007)
- Paes JE, "Acute bacterial suppurative thyroiditis: a clinical review and expert opinion", Thyroid, 20, pp.247~255 (2010)
- Wongphyat O, "Acute suppurative thyroiditis in young children", J Paediatr Child Health, 48, pp.E116~E118 (2012)
- Hatabu H, "Acute suppurative thyroiditis associated with piriform sinus fistula: sonographic findings", AJR Am J Roentgenol, 155, pp.845~847 (1990)
- Nicoucar K, "Management of congenital third branchial arch anomalies:a systematic review", Otolaryngol Head Neck Surg, 142, pp.21~28.e2 (2010)
- Schneider U, "Recurrent suppurative thyroiditis due to pyriform sinus fistula: a case report", Eur J Pediatr, 154, pp.640~642 (1995)
- Fukata S, "Acute suppurative thyroiditis caused by an infected piriform sinus fistula with thyrotoxicosis", Thyroid, 12, pp.175~178 (2002)
- Yolmo D, "Retrospective case review of pyriform sinus fistulae of third branchial arch origin commonly presenting as acute suppurative thyroiditis in children", J Laryngol Otol, 126, pp.737~742 (2012)