“Isolated Tuberculous Thyroiditis”
S M SARWAR, MASROOR RAHMAN
Isolated Tuberculous Thyroiditis
This case report has been prepared to create awareness among Otolaryngologists about a relatively rare entity of thyroiditis.
Tuberculosis is a widespread infectious disease cause by various strains of Mycobacterium, usually Mycobacterium tuberculosis. Tuberculosis generally affects the lungs but can also affect other parts of the body. Isolated tuberculosis of the thyroid gland is an extremely rare condition.
We report a case of a 35 years old female patient with isolated tuberculous thyroiditis presented as diffuse tenderness and pain in lower part of anterior neck with no visible neck swelling. Ultrasound of thyroid gland showed heterogeneous echo texture with micro nodules in both lobes Mantoux test result was positive and ultrasound guided FNAC (Fine Needle Aspiration Cytology) of the thyroid gland revealed caseating epithelioid granulomas consistent with tuberculosis. The patient made a complete clinical recovery after six months of anti TB treatment and a repeat ultrasound at the end of treatment showed no nodularity in the gland.
Tuberculous thyroiditis has to be kept in mind in the differential diagnosis of mild pain, tenderness, swelling and nodularity of the thyroid gland in TB endemic regions and in TB non-endemic areas because of HIV.
- In clinical practice tuberculous thyroiditis has to be kept in mind whenever a patient comes with chronic mild pain, diffuse tenderness and nodularity in thyroid region.
- No organ in the human body should be considered immune to tuberculosis.
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Authors' Contact Details
Corresponding Author: Dr. S M SARWAR (email@example.com)
Senior Author: Dr. S M SARWAR