带有全身性败血症的甲状腺皮切尔:一种罕见的临床场景
Surya Prakash Dorasala Ramanna1, Chandrakiran Channegowda2, Shabna Lakshmi Shanmugananthan2
1Otorhinolaryngology, MS Ramaiah Medical College, Bangalore, Karnataka, India drdrsuryaprakash@gmail.com.
BMJ case reports
|May 23, 2024
概括
一位患有疼痛部质量的女性患有由大肠杆菌引起的甲状腺腹. 手术排水和甲状腺切除术导致完全康复,解决了语音变化.
科学领域:
- 内分泌学 在内分泌学.
- 传染性疾病 传染性疾病
- 手术病理学手术病理学
背景情况:
- 甲状腺是罕见的,但可以呈现为迅速扩大的部质量.
- 症状可能包括疼痛,消化不良,呼吸不良和声音变化.
研究的目的:
- 报告由大肠杆菌引起的大型甲状腺瘤的病例.
- 突出多学科管理在治疗复杂的甲状腺感染的重要性.
主要方法:
- 一个中年妇女的案例研究,她有一个疼痛的部质量.
- 诊断工作包括成像 (超声波),细针吸收,血液测试和培养.
- 治疗包括手术排水,全甲状腺切除术和抗生素治疗.
主要成果:
- 患者呈现出快速增长的,疼痛的左甲状腺叶质量与相关的声音变化,呼吸障碍和耳鼻.
- 精细针吸收显示了中性粒细胞,血液测试表明败血症.
- 尿液和甲状腺的培养物发现了大肠杆菌,证实了细菌性败血症.
- 手术干预和抗生素导致完全康复和声音正常化.
结论:
- 甲状腺,虽然不常见,但需要及时诊断和管理.
- 大肠杆菌可能是甲状腺瘤的致病因子.
- 多学科合作对于成功的甲状腺的手术和医疗治疗至关重要.
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