Recurrent Acute Suppurative Thyroiditis in a Patient without Pyriform Sinus Fistula: A Case Report
摘要
Acute suppurative thyroiditis is a rare disorder that causes severe pain, tenderness, redness and fluctuation in the region of the thyroid gland. A 52-year-old healthy woman had acute onsets of left neck painful swelling on two occasions, three years ago and one year ago, respectively. A sonography examination revealed a hypoechogenic area on the left lobe of thyroid, about 2.28×2.1cm in size; a fine-needle aspiration biopsy showed neutrophil infiltration. Appropriate antibiotic treatment and incision and drainage of mass relieved the symptoms of the infection. The patient had no history of diabetes mellitus and no sign of pyriform sinus fistula on barium swallow study; it is unusual to develop recurrent suppurative thyroiditis in such a patient.