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J Korean Surg Soc. 2002 Sep;63(3):262-266. English. Case Report.
Kim KH , Ahn CH , Kim JS , Kim W , Jeon HM , Yoo SJ , Shin OR , Lee EJ , Lim KW .
Department of Surgery, Uijongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijongbu, Korea. drbreast@cmc.cuk.ac.kr
Department of Clinical Pathology, Uijongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijongbu, Korea.
Abstract

The authors report a rare case of actinomycosis, involving the thyroid gland in a 9-year-old female, presented with a hard, non-tender, non-inflammatory left neck mass of 4 weeks duration. On physical examination a firm, non-tender mass within the left thyroid gland was found; and the laboratory and imaging studies strongly suggested a thyroid neoplasm. After a left subtotal thyroidectomy, a gross sulfur granule was founded in the excised lesion. Histological examination confirmed actinomycotic thyroiditis. Actinomyces species are a very rare cause of infective thyroiditis, with difficulties in their diagnosis and treatment. The authors reviewed its pathogenesis and treatment.

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