1例毗邻颗粒链球菌致急性化脓性甲状腺炎诊治的报道

Diagnosis and treatment of acute suppurative thyroiditis caused by Granulicatella adiacens:a case report

急性化脓性甲状腺炎在临床上较为罕见,其临床表现复杂多样,容易误诊、漏诊,如不及时诊断和治疗,延误病情,具有潜在致命性。本文对2019年8月5日入院的1例毗邻颗粒链球菌致急性化脓性甲状腺炎患者进行分析与总结,结合实际的发病及诊疗过程,对该病的临床表现、诊断、鉴别诊断及治疗措施进行探讨,提出临床医生应时刻警惕颈前疼痛患者,脓肿形成后应及早行脓肿穿刺引流或切开排脓及彻底清创。

Acute suppurative thyroiditis is rarely seen in the clinic,and its clinical manifestations are complex and diverse,and it is easy to be misdiagnosed or missed.If it is not diagnosed and treated in time,the whole condition will be delayed and it will develop to be potentially fatal.This article analyzes and summarizes a patient with acute suppurative thyroiditis caused by Granulicatella adiacens admitted to our hospital on August 5,2019.Combining the actual morbidity and diagnosis and treatment process,the clinical manifestations,diagnosis,differential diagnosis and treatment measures of the disease are discussed.It is suggested that clinicians should always be alert to patients with anterior cervical pain,after abscess formation,drainage of the abscess or incision to drain the pus and complete debridement should be performed as soon as possible.