갑상선중독증이 동반된 급성 화농성 갑상선염 1예 = A case of acute suppurative thyroiditis with thyrotoxicosis

국문 초록 (Abstract)

저자들은 갑상선중독증 환자에서 세침흡인세포검사를 통해 급성 화농성 갑상선염을 진단하고, 균 배양검사에서 burkholderia gladioli에 의한 감염을 확인하였으며, 항생제투여로 임상증상 및 갑상선기능이 호전된 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

다국어 초록 (Multilingual Abstract)

Acute suppurative thryroiditis is a rare disease because the thyroid gland is resistant to infection. Thyroid function tests are usually normal in acute suppurative thryroiditis. We care for a patient with acute suppurative thryroiditis and associated thyrotoxicosis. A 73-year-old diabetic woman presented with pain over the thyroid gland and an elevated serum thyroid hormone level and decreased radioiodine uptake, as occurs in subacute thyroiditis. A neck computed tomography showed an abscess in the right lobe of the thyroid gland. A neutrophilic infiltration was shown in a fine needle aspiration biopsy, and Gram negative Burkholderia gladioli grew from the aspirate culture. Antibiotic treatment ameliorated the symptoms of infection, followed by normalization of thyroid function. (Korean J Med 75:242-245, 2008)

참고문헌 (Reference)

1 Ahn WS, "Tuberculosis of thyroid gland" 21 : 88-90, 1979

2 Singer PA, "Thyroiditis: acute, subacute, and chronic" 75 : 61-77, 1991

3 Sakiyama R, "Thyroiditis: a clinical review" 48 : 615-621, 1993

4 Schweitzer VG, "Thyroid abscess" 89 : 226-229, 1981

5 Pallernoni NJ, "Taxonomy of the aerobic pseudomonads: pseudomonas cepacia, P. marginata, P. alliicola and P. caryophylli" 60 : 199-214, 1970

6 Cases JA, "Recurrent acute suppurative thyroiditis in an adult due to a fourth branchial pouch fistula" 85 : 953-956, 2000

7 Miyauchi A, "Piriform sinus fistula: an underlying abnormality common in patients with acute suppurative thyroiditis" 14 : 400-405, 1990

8 Berger SA, "Infectious diseases of the thyroid gland" 5 : 108-122, 1983

9 Berger SA, "Infectious diseases of the thyroid gland" 5 : 108-122, 1983

10 Walsh CH, "Hyperthyroidism associated with acute suppurative thyroiditis" 161 : 137-, 1992

11 Graves M, "Four additional cases of Burkholderia gladioli infection with microbiological correlates and review" 25 : 838-842, 1997

12 Lough DR, "Acute suppurative thyroiditis in children" 114 : 462-465, 1996

13 Fukata S, "Acute suppurative thyroiditis caused by an infected piriform sinus fistula with thyrotoxicosis" 12 : 175-178, 2002

14 Kang BS, "A case of thyroid abscess by Straphylococcus aureus" 11 : 207-213, 1996

15 Lee JT, "A case of acute thyroiditis complicated in the course of paratyphoid fever" 27 : 1111-1116, 1984