Refractory acute suppurative thyroiditis secondary to pyriform sinus fistula
- Refractory acute suppurative thyroiditis secondary to pyriform sinus fistula
- 박용훈; 서지혜; 양세원[양세원]; 김현영[김현영]
- Thyroiditis; Suppurative; Pyriform sinus; Fistula; Cautery
- Issue Date
- Annals of Pediatirc Endocrinology & Metabolism, v.19, no.2, pp.104 - 107
- Acute suppurative thyroiditis is a rare disease because the thyroid gland is remarkablyresistant to infection. We present a 2-year-old girl with refractory acutesuppurative thyroiditis due to a pyriform sinus fistula (PSF). She complainedof fever and painful anterior neck swelling. Her condition did not completelyimproved by multiple parenteral antibiotics along with incision and drainage.
Barium esophagogram to detect PSF demonstrated no specific finding. Computedtomography scan showed air bubble superior to the left thyroid gland whichindicated a possible fistula connected to the pyriform sinus. An intraoperativelaryngoscopy revealed a 2-mm-sized fistula opening. The fistula was successfullytreated by chemocauterization with trichloroacetic acid.
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