Refractory acute suppurative thyroiditis secondary to pyriform sinus fistula

Title
Refractory acute suppurative thyroiditis secondary to pyriform sinus fistula
Author(s)
박용훈서지혜양세원[양세원]김현영[김현영]
Keywords
Thyroiditis; Suppurative; Pyriform sinus; Fistula; Cautery
Issue Date
201406
Publisher
대한소아내분비학회
Citation
Annals of Pediatirc Endocrinology & Metabolism, v.19, no.2, pp.104 - 107
Abstract
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.
URI
http://hdl.handle.net/YU.REPOSITORY/31727
ISSN
1226-2242
Appears in Collections:
의과대학 > 소아청소년과학교실 > Articles
의과대학 > 영상의학과학교실 > Articles
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