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KMID : 0356620120270030222
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Journal of Korean Society of Endocrinology
2012 Volume.27 No. 3 p.222 ~ p.226
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A Case of Actinomycotic Thyroiditis in an Adult with Piriform Sinus Fistula
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Choi Hyun-Ju
Kim Bo-Won
Shin Min-Ji
Choi Bo-Kwang
Kang Ji-Hyun
Jeon Young-Jae
Kim Sang-Soo
Kim Bo-Hyun
Kim In-Ju
Kim Yong-Ki
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Abstract
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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.
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KEYWORD
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Actinomycosis, Pyriform sinus fistula, Thyroiditis
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