WordNet

of critical importance and consequence; "an acute (or critical) lack of research funds"
having or demonstrating ability to recognize or draw fine distinctions; "an acute observer of politics and politicians"; "incisive comments"; "icy knifelike reasoning"; "as sharp and incisive as the stroke of a fang"; "penetrating insight"; "frequent penetrative observations" (同)discriminating, incisive, keen, knifelike, penetrating, penetrative, piercing, sharp
extremely sharp or intense; "acute pain"; "felt acute annoyance"; "intense itching and burning" (同)intense
having or experiencing a rapid onset and short but severe course; "acute appendicitis"; "the acute phase of the illness"; "acute patients"
of an angle; less than 90 degrees
relating to or characterized by suppuration
inflammation of the thyroid gland

PrepTutorEJDIC

(先の)『鋭い』,とがった / (痛み・感情などが)『激しい』,強い / (知力・感覚などが)『鋭い』,鋭敏な / (事態が)重大な / (病気が)急性の / (音が)高い,鋭い / 鋭角の

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Recurrent deep neck abscess and piriform sinus tract: A 15-year review on the diagnosis and management.

Mou JW1, Chan KW2, Wong YS2, Houben CH2, Tam YH2, Lee KH2.
Journal of pediatric surgery.J Pediatr Surg.2014 Aug;49(8):1264-7. doi: 10.1016/j.jpedsurg.2013.10.018. Epub 2013 Oct 26.
BACKGROUND: Piriform sinus tract (PST) is a rare congenital condition. A delay in diagnosis is common leading to recurrent inflammation.METHOD: A retrospective review was performed on all cases of PST treated at a tertiary referral centre between May 1997 and May 2012.RESULTS: Eighteen patients were
PMID 25092087

Seo JH1, Park YH1, Yang SW2, Kim HY3.
Annals of pediatric endocrinology & metabolism.Ann Pediatr Endocrinol Metab.2014 Jun;19(2):104-7. doi: 10.6065/apem.2014.19.2.104. Epub 2014 Jun 30.
Acute suppurative thyroiditis is a rare disease because the thyroid gland is remarkably resistant to infection. We present a 2-year-old girl with refractory acute suppurative thyroiditis due to a pyriform sinus fistula (PSF). She complained of fever and painful anterior neck swelling. Her condition
PMID 25077095

Coccidiomycosis thyroiditis in an immunocompromised host post-transplant: case report and literature review.

McAninch EA1, Xu C, Lagari VS, Kim BW.
The Journal of clinical endocrinology and metabolism.J Clin Endocrinol Metab.2014 May;99(5):1537-42. doi: 10.1210/jc.2013-4373. Epub 2014 Feb 25.
CONTEXT: Acute infectious thyroiditis, particularly fungal thyroiditis, is rare and typically presents in immunocompromised individuals. Here we report the first case of coccidiomycosis thyroiditis occurring in an organ recipient as a consequence of likely allograft contamination and discuss the man
PMID 24606101

渡嘉敷邦彦,塚原清彰,山中弘明,本橋玲,遠藤稔,岡吉洋平,髙瀬聡一郎,中村一博
耳鼻咽喉科臨床 106(12), 1127-1131, 2013
… Subacute thyroiditis is a nonsuppurative inflammatory disease whose treatment differs from that of acute suppurative thyroiditis. … We report herein on a case diagnosed as subacute thyroiditis in which a deep cervical abscess developed as a result of overdosing with a steroid hormone agent. …
NAID 130003386104

松下直樹,和田匡史,井口広義,寺西裕一,神田裕樹,山根英雄
頭頸部外科 23(2), 193-197, 2013
下咽頭梨状窩瘻は頸部外切開による摘出や，最近では瘻孔の化学的焼灼により治療が行われている。いずれの方法においても治療前の消炎が不可欠で，炎症の発症から根治手術までに一定期間を設けなければならない。しかし，下咽頭梨状窩瘻は学童期に好発することから学業などとの兼ね合いも考慮する必要に迫られジレンマを抱えることも多い。われわれは9歳の男児の感染性下咽頭梨状窩瘻に対し切開排膿後2週間で外切開による瘻管摘出 …
NAID 130003385971

下咽頭梨状窩瘻；3,4番目の鰓弓異常から生じた梨状窩からの瘻孔を通じて細菌が波及した。瘻孔はほとんどが左側に生じる。そのため瘻孔が原因となる急性化膿性甲状腺炎は90%の例で左側に発症する。初発は小児期が多く、21歳以上での症例は数%に過ぎない。
甲状舌管遺残、盲孔開存、先天性鰓瘻、血行性播種、直接波及、食道前部の穿孔、免疫抑制(成人例の1/4が免疫不全に由来してもので、半数がHIVに罹患していた問い言う報告がある)