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Received: 14 August 2011, Accepted: 25 October 2011 Corresponding author: Bo Hyun Kim Division of Endocrinology and Metabolism, Department of Internal Medicine, Pusan National University Hospital, Pusan National University School of Medicine, 305 Gudeok-ro, Seo-gu, Busan 602-739, Korea Tel: +82-51-240-7678, Fax: +82-51-254-3217, E-mail: pons71@hanmail.net A Case of Actinomycotic Thyroiditis in an Adult with Piriform Sinus Fistula