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Actinomycotic thyroiditis in a child

J Trites1, M Evans

  • 1Division of Paediatric Surgery, University of Western Ontario and the Children's Hospital of Western Ontario, London, Canada.

Journal of Pediatric Surgery
|June 2, 1998
PubMed
Summary
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A rare case of thyroid actinomycosis was found in a young girl presenting with a neck mass. Surgical drainage revealed sulphur granules, confirming this unusual diagnosis.

Area of Science:

  • Endocrinology
  • Infectious Diseases
  • Pathology

Background:

  • Actinomycosis is a rare bacterial infection typically affecting the cervicofacial region, but can occur in other sites.
  • Thyroid actinomycosis is exceptionally uncommon, especially in pediatric patients.

Observation:

  • A 10-year-old girl presented with a painless, noninflammatory left neck mass.
  • Initial examination revealed a firm, nontender mass in the left thyroid lobe, mimicking a neoplasm.

Findings:

  • Subsequent inflammatory changes led to surgical drainage, which yielded characteristic sulphur granules.
  • Histological examination confirmed the presence of actinomycosis within the thyroid gland.

Implications:

  • This case highlights the importance of considering actinomycosis in the differential diagnosis of thyroid masses, even in pediatric patients.

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  • Early recognition and appropriate treatment are crucial for managing this rare condition.