急性化脓性甲状腺炎误诊为“亚急性甲状腺炎”致疾病进展伴脓肿形成1例

Acute Suppurative Thyroiditis was Misdiagnosed as Subacute Thyroiditis Leading to Disease Progression and Abscess Formation:A Case Report

急性化脓性甲状腺炎是一种罕见的甲状腺疾病,多由金黄色葡萄球菌等感染所致,发病初期与亚急性甲状腺炎难于鉴别,后者是一种典型的破坏性甲状腺炎,由病毒感染引起,症状重者可予以阿司匹林或糖皮质激素治疗。本文报告1例急性化脓性甲状腺炎误诊为亚急性甲状腺炎,予以醋酸泼尼松治疗后病情进展伴脓肿形成患者的诊治经过,以期为此类疾病的诊治提供一些帮助。

Acute suppurative thyroiditis is a rare thyroid disease,mostly caused by infections such as Staphylococcus aureus.It is difficult to distinguish from subacute thyroiditis at the early stage of the disease.Meanwhile,subacute thyroiditis is a typical destructive thyroiditis caused by a viral infection.Those with severe symptoms can be treated with aspirin or glucocorticoids.This paper reports one case,in which acute suppurative thyroiditis was misdiagnosed as subacute thyroiditis and treated with prednisone acetate in a patient leading to disease progression and abscess formation,so to provide more knowledge base for the diagnosis and treatment of such diseases.