A Case of Actinomycotic Thyroiditis in an Adult with Piriform Sinus Fistula.
10.3803/EnM.2012.27.3.222
- Author:
Hyun Ju CHOI
1
;
Bo Won KIM
;
Min Ji SHIN
;
Bo Kwang CHOI
;
Ji Hyun KANG
;
Yun Kyung JEON
;
Sang Soo KIM
;
Bo Hyun KIM
;
In Ju KIM
;
Yong Ki KIM
Author Information
1. Department of Internal Medicine, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea. pons71@hanmail.net
- Publication Type:Case Report
- Keywords:
Actinomycosis;
Pyriform sinus fistula;
Thyroiditis
- MeSH:
Actinomyces;
Actinomycosis;
Adult;
Barium;
Biopsy, Fine-Needle;
Child;
Fistula;
Humans;
Hyphae;
Neck Pain;
Pyriform Sinus;
Staphylococcus;
Streptococcus;
Sulfur;
Thyroid Diseases;
Thyroid Gland;
Thyroiditis;
Thyroiditis, Suppurative;
Track and Field;
Young Adult
- From:Endocrinology and Metabolism
2012;27(3):222-226
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Acute suppurative thyroiditis is an uncommon infectious thyroid disease affecting mainly children and young adults. The route of infection is frequently a pyriform sinus fistula. The major pathogens responsible for acute bacterial suppurative thyroiditis are the Streptococcus and Staphylococcus species. In contrast, Actinomyces species are a very rare cause of acute suppurative thyroiditis. We experienced a case of a 23-year-old man who has presented general weakness and neck pain. Thyroid ultrasonography showed an ill-defined area of heterogeneous hypoechogenicity in the left lobe of the thyroid gland. Histologic examination by fine needle aspiration demonstrated gram-positive, filamentous-like organisms with branching hyphae and characteristic sulfur granules. Barium esophagogram showed a linear barium-filled track at the left pyriform sinus. We report a case of actinomycotic thyroiditis in a young adult with pyriform sinus fistula along with a brief review of related literature.
