误诊为亚甲炎的急性化脓性甲状腺炎1例

A case of acute suppurative thyroiditis

患者,男,7岁。因右颈部肿痛半月余,发热5d入院。患儿于入院前半月出现咽痛伴右侧颈部疼痛,未予注意,入院前5d因右侧颈部肿痛症状较前明显加剧,并出现发热,体温最高为39℃,在海南省187医院就诊,行血常规：WBC 19.86G/L,N 76.5%,甲状腺彩超提示甲状腺右叶肿大并弥漫性病变,考虑为亚急性甲状腺炎,给予激素、抗感染处理,症状未缓解,为进一步诊治,以＂甲状腺炎＂收入我科。入院体检：T 37.8℃,P 82次/min,

Acute suppurative thyroiditis （AST） is a rare thyroid disease in clinical. Its Symptoms and signs were not typical,so it was easily misdiagnosed as other diseases. The article reported a case of acute suppurative thyroiditis which was misdiagnosed as subacute thyroiditis.