Infectious diseases of the thyroid gland.
Infectious diseases of the thyroid gland.
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甲状腺传染性疾病。
DOI：
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发表时间：
1983
期刊：
影响因子：
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通讯作者：
N. Mittman
中科院分区：
文献类型：
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作者：
S. Berger;J. Zonszein;P. Villamena;N. Mittman
对 1900 年以来报告的 224 名甲状腺感染患者的临床和实验室特征进行了回顾。关于这一主题的许多先前文献都假设大多数甲状腺炎是传染性的，并且所有淋巴瘤性甲状腺炎都是结核性的。同样，与梅毒一起发生的甲状腺炎通常等同于密螺旋体侵入腺体。急性细菌性甲状腺炎起病迅速，比结核感染更容易出现发烧、疼痛和压痛。化脓性和分枝杆菌感染在患有甲状腺疾病的女性中最常见。本次综述涵盖的病例中，传染性甲状腺炎引起的死亡率低于之前报道的死亡率。甲状腺的树胶和真菌感染通常仅通过活检或尸检才能诊断。播散性曲霉病经常累及甲状腺，因此需要对患有这种感染的患者的腺体进行仔细检查。甲状腺包虫病是一个慢性过程，通常只有在切除后才能诊断出来。
Clinical and laboratory characteristics of 224 patients with thyroidal infection reported since 1900 are reviewed. Much of the prior literature on this subject has assumed that most instances of thyroiditis are infectious and that all lymphomatous thyroiditis is tuberculous. Similarly, thyroiditis occurring with syphilis was often equated with treponemal invasion of the gland. Acute bacterial thyroiditis is rapid in onset and more likely than tuberculous infection to produce fever, pain, and tenderness. Suppurative and mycobacterial infections are most common among women with preexisting thyroid disorders. Mortality due to infectious thyroiditis is lower in cases covered by this review than has been previously reported. Gummatous and fungal infections of the thyroid are generally diagnosed only at biopsy or necropsy. Frequent thyroidal involvement in disseminated aspergillosis warrants careful investigation of the gland in patients with this infection. Echinococcosis of the thyroid is a chronic process that is generally diagnosed only following excision.