RESUMO
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
Assuntos
Humanos , Feminino , Doenças da Glândula Tireoide/microbiologia , Glândula Tireoide/microbiologia , Mycobacterium tuberculosisRESUMO
Thyroid is a rare localization of tuberculosis. The clinical course of the disease may resemble toxic goiter or acute thyroiditis or may follow a subacute or chronic pattern without specific symptomatology. We report the case of a 37 year-old woman referred to the hospital with a diagnosis of goiter without clinical signs of tuberculosis. The diagnosis was established after total thyroidectomy and histological exam. Six-month treatment with antituberculous drugs was administered with a good outcome
Assuntos
Humanos , Feminino , Glândula Tireoide/microbiologia , Doenças da Glândula Tireoide/diagnóstico , BócioRESUMO
We report a case of nocardiosis in an immunosuppressed elderly patient who presented with prolonged pyrexia. Nocardia asteroides was isolated from the thyroid, with CT scan evidence of dissemination to the brain, abdomen and lungs. The patient succumbed to illness despite aggressive therapy. Autopsy could not be performed. To the best of our knowledge, this is the first reported case from India, on Nocardia asteroides affecting the thyroid tissue.
Assuntos
Abscesso/microbiologia , Idoso , Encéfalo/microbiologia , Febre/microbiologia , Humanos , Pulmão/microbiologia , Masculino , Nocardiose/microbiologia , Nocardia asteroides/isolamento & purificação , Glândula Tireoide/microbiologiaRESUMO
Tuberculosis of the thyroid is rare even where tuberculosis per se is common. We report a case of primary tuberculous goitre in a young man from mid-western Nepal.
Assuntos
Adulto , Antituberculosos/uso terapêutico , Diagnóstico Diferencial , Humanos , Masculino , Glândula Tireoide/microbiologia , Tuberculose Endócrina/diagnósticoRESUMO
The incidence of tuberculosis is high and extrapulmonary tuberculosis is seen more frequently, the thyroid tuberculosis is rare. Thyroid tuberculosis is presented as thyroid nodule, thyroiditis or abscess formation. This condition should therefore be recognized whenever goiter is being treated, because it has an entirely different treatment. The aim of this report is to present thyroid tuberculosis in order to gain a better understanding of its clinical characteristic, diagnosis and treatment we present 9 cases of thyroid tuberculosis since 1995-2006 from north of Iran. They comprised 5 patients with thyroiditis, 2 cases with abscess formation and 2 with thyroid nodules. All patients were diagnosed using Fine Needle Aspiration [FNA] and treated by repeated surgery and anti-tuberculosis drugs. It is concluded that tuberculosis of thyroid should be kept in mind while treating diseases of the thyroid such as thyroid nodule, thyroiditis, thyrotoxicosis especially in communities with high prevalence of tuberculosis. The diagnosis of thyroid tuberculosis is facilitated by FNA and its treatment is achieved by simple surgery as well as anti-tuberculosis therapy
Assuntos
Humanos , Masculino , Feminino , Glândula Tireoide/microbiologia , Tuberculose , Tireoidite , Abscesso , Nódulo da Glândula Tireoide , Biópsia por Agulha Fina , Antituberculosos , TireotoxicoseRESUMO
Paciente previamente hígido, homem de 75 anos, branco, dentista, apresentou história de seis meses de dor lombar, fez uso crônico de corticoterapia e teve diagnóstico de infecção por Nocardia farcinica através do aspirado de abscesso da tireóide e seis hemocultivos positivos. Apesar do tratamento com a combinação de sulfametoxazol/trimetoprim, o paciente não respondeu indo a óbito dois dias após. A necropsia revelou nocardiose disseminada, envolvendo ambos os pulmões, empiema bilateral, coração, tireóide, rins, cérebro, ossos, e tecidos moles lombossacrais, com destruição da L2-L4.
Assuntos
Idoso , Humanos , Masculino , Abscesso/microbiologia , Nocardiose/diagnóstico , Nocardia/isolamento & purificação , Glândula Tireoide/microbiologia , Anti-Infecciosos/uso terapêutico , Evolução Fatal , Imageamento por Ressonância Magnética , Nocardiose/tratamento farmacológico , Nocardiose/patologia , Nocardia/genética , Tomografia Computadorizada por Raios X , Combinação Trimetoprima e Sulfametoxazol/uso terapêuticoRESUMO
In our country, tuberculosis, a social curse, rages on endemic mode. The thyroid localization is exceptional [0,2%] and its clinical manifestation is usually misleading. The positive diagnosis is based on presumptive elements [contagion, other localization of tuberculosis] and the certitude is based on anatomopathology and/or put BK to the fore. We report three cases of confirmed tuberculosis thyroid in endocrinology, diabetology and nutrition service during ten years. The course of illness with treatment has been marked by a rapid amendment of clinical and biological symptomatology and an entire recovery