ABSTRACT
Fine needle aspiration (FNA) of the thyroid is a well-tolerated minimally invasive procedure. Thyroid abscess, as a complication of FNA in an immune-competent adult, is extremely rare. Diagnosis requires a high index of suspicion, for which treatment is intravenous antibiotics, drainage, and sometimes surgery. Here we present a case of thyroid abscess in an otherwise healthy man who presented with neck pain, rapidly increasing neck swelling, difficulty in swallowing, and hoarseness of the voice that developed two weeks after diagnostic FNA of a thyroid nodule which had been present for ten months. Despite antibiotic treatment, the abscess ruptured into the trachea, requiring surgical intervention. This highlights the importance of maintaining asepsis during FNA of the thyroid. Timely diagnosis of a thyroid abscess is essential to avoid life-threatening airway complications.
ABSTRACT
Primary splenic lymphoma is a rare disease. It can be defined as a lymphomatous process involving the spleen alone or the spleen and splenic lymph nodes. These lymphomas are usually of non-Hodgkin's type, originating from B-cells. The criteria used for primary splenic lymphoma includes primary symptoms due to splenomegaly, no lymphadenopathy or liver involvement and an interval of 6 months or longer between the detection of splenic involvement and appearance of lymphoma elsewhere. We report a case of a 37-year old female patient who presented with loss of weight and heaviness on the left side of abdomen for duration of 6 months. Splenectomy was performed which revealed non-Hodgkin's lymphoma, B-cell type localized to spleen and splenic hilar lymph nodes