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A Case of Actinomycotic Thyroiditis in a Child with Fourth Branchial Cleft Fistula

Hye Young Lee, Jeong Suk Yeom, Myoung Bum Choi, Ji Hyun Seo, Jae Young Lim, Chan Hoo Park, Hyang Ok Woo, Hee Sang Youn

Clin Exp Pediatr. 2004;47(6):696-700. Published online June 15, 2004

Fistulas of the fourth branchial pouch have an external opening in the neck and the inner opening at the apex of the pyriform fossa. The tract passes from the left lobe of the thyroid, resulting in acute suppurative thyroiditis in most cases. Actinomycosis is an indolent, slowly progressive infection caused by anaerobic or microaerophilic gram-positive bacteria, primarily of the genus...

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