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急性化脓性甲状腺炎是少见疾病,尤其在儿童更属罕见。本文报告2例日本复发性化脓性甲状腺炎患儿的临床经过及特殊致病菌。2例均系8岁男孩,分别在入院前1周及1个月有发热、咳嗽及咽痛。约1周后甲状腺左叶区各出现一5×5厘米及4×4厘米大小的硬性、无波动感的、表面微红的肿块,有压痛。除例2有龋齿外,其余体检均属正常。化验2例血常规白细胞及中性粒第1次正常,第2次偏高。血沉及血清胆固醇略高,血浆促甲状腺激素(TSH)、三碘甲状腺原氨酸(T_3)甲状腺素(T_4)、蛋白结合碘(PBI)等均在正常范围内。甲状腺24小时
Acute suppurative thyroiditis is a rare disease, especially in children is even more rare. This article reports 2 cases of Japanese recurrent suppurative thyroiditis in children with clinical and special pathogens. Two patients were all 8-year-old boys. They had fever, cough and sore throat one week and one month before admission. Approximately 1 week after the left thyroid region appeared a 5 × 5 cm and 4 × 4 cm size of the hard, no fluctuations in the flu, the surface reddish mass, tenderness. Except for cases 2 caries, the remaining physical examination are normal. 2 cases of blood test white blood cells and neutrophils normal first, the second high. ESR and serum cholesterol slightly higher, thyroid stimulating hormone (TSH), triiodothyronine (T_3) thyroxine (T_4), protein bound iodine (PBI) were within the normal range. Thyroid 24 hours