Primary tuberculosis of thyroid gland

We present a case of primary tuberculosis of thyroid gland in a 21 years old female with a solitary swelling of the thyroid gland. Clinically and biochemically, she was euthyroid. After investigations, subtotal thyroidectomy was done. Histological examination shows tuberculosis of thyroid gland

Infectious and neoplastic disorders of the thyroid in AIDS patients: an autopsy study

The course of human immunodeficiency virus infection and the acquired immunodeficiency syndrome can be complicated by a variety of endocrine abnormalities. This article describes the findings of a prospective study of 100 AIDS patients with thyroids compromised by infectious agents or neoplastic disorders from a time period before the use of highly active antiretroviral regimens. A wide range of bacterial, fungal, viral, and neoplastic disorders were observed. Mycobacetrium tuberculosis was recorded in 23 percent of the patients, cytomegalovirus in 17 percent, Cryptoccocus in 5 percent, Mycobacterium avium in 50 percent, Pneumocystis in 4 percent, and other bacteria or fungi in 7 percent. Kaposi's sarcoma was recorded in 2 percent of patients and occult papillary carcinoma in 4 percent. Four patients had dual infections of the thyroid. The mean weight of the thyroid was lower than normal, and 1 case of thyroid follicular atrophy is presented. A review of the medical literature on thyroid disorders in HIV-infected patients is included. Physicians caring for HIV patients should be aware of the possibillity of thyroid dysfunction in their patients.