A Rare Case of Suppurative Aspergillosis of the Thyroid

Thada, Nikhil Dinaker; Prasad, Sampath Chandra; Alva, Bhasker; Pokharel, Manish; Prasad, Kishore Chandra

doi:10.1155/2013/956236

Cited by 6 publications

(7 citation statements)

References 8 publications

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“…Acute Thyroiditis is a rare disease and can be caused by bacteria, viruses, and fungi. Nikhil Dinakar Thada et al [ 5] analyzed 415 reported cases of Infectious Thyroiditis (1900 -1997) and found only 50 cases as due to fungi. Since then, only 12 cases had been reported up to their study done in 2013.…”

Section: Discussionmentioning

confidence: 99%

Aspergillus Thyroiditis: An Incidental Diagnosis in a Patient of Tubercular Meningitis, A Case Report

Sinha,

Sutradhar,

Bhaumik

2024

Ann of Pathol and Lab Med

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Fungal thyroiditis is a rare disorder of the thyroid gland and affects immunocompromised patients in a setting of disseminated disease and contributes to high mortality rates. The commonest fungus implicated is Aspergillus. Here, we present a case of Aspergillus Thyroiditis in a patient undergoing treatment for Chronic meningitis (? Tubercular) who was incidentally detected with the thyroid lesion on follow-up evaluation by 18 Fluorodeoxyglucose Positron Emission Tomography (FDG PET). A Fine Needle Aspiration cytology revealed Fungal hyphae and she was diagnosed with Aspergillus thyroiditis. She also had concurrent aspergillosis of the lung. She was treated with antifungals and is doing well at present.

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Section: Discussionmentioning

confidence: 99%

Aspergillus Thyroiditis: An Incidental Diagnosis in a Patient of Tubercular Meningitis, A Case Report

Sinha,

Sutradhar,

Bhaumik

2024

Ann of Pathol and Lab Med

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“…The factors which resist infection are well-developed capsule, high iodine content, prosperous lymphatic, and vascular supply of thyroid [5,6]. Jin et al reported that reason for sinus formation to be foreign bodysuture reaction [7]. Total thyroidectomy may reduce the formation of skin sinus effectively.…”

Section: Discussionmentioning

confidence: 99%

Discharging Sinus as a Delayed Complication of Hemithyroidectomy: A Rare Case Report

Budhiraja¹,

Kaur²,

Singh³

2022

MJCR

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Thyroidectomy is known to have a few number of complications such as wound infection, haematoma, recurrent laryngeal nerve or superior laryngeal nerve palsy, hypothyroidism, hypocalcemia, hypertrophied scar formation, and these complications are even less in cases of hemithyroidectomy. We report a rare case of discharging skin sinus of the neck following right hemithyroidectomy which was reported after 12 months of surgery as a late complication. Ultrasonography revealed non fluid retaining sinus tract extending from skin in neck and going deep till the thyroid bed, towards right side at site of right lobe. Excision of sinus tract was done in toto and on incising the specimen, multiple knotted suture materials were found. Histopathology report showed fibrocollagenous stroma with non caseating granuloma with multinucleate giant cell (suture granuloma). The management and review of literature in related to case has been discussed in this case report.

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“…Thyroid gland and circumferential interspace infection are possible causes of skin sinus formation after thyroidectomy. Infectious diseases of the thyroid gland are uncommon because of factors which resist infection such as well-developed capsule, high iodine content of the gland, and prosperous lymphatic and vascular supply [15, 16]. However, thyroidectomy could damage the gland anatomy, and it may weaken the protective effect of the above factors.…”

Section: Discussionmentioning

confidence: 99%

Clinical Study on the Etiology of Postthyroidectomy Skin Sinus Formation

Jin

Bao

Borkhuu

et al. 2017

Surgery Research and Practice

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Background. Thyroidectomy is one of the most frequently performed surgical procedures worldwide. Despite technical advances and high experience of thyroidectomy of specialized centers, it is still burdened by a significant rate of postoperative complications. Among them, the skin sinus formation is an extremely rare postthyroidectomy complication. Here, we first report the incidence of the skin sinus formation after thyroidectomy to identify the causes for skin sinus formation after thyroidectomy and to discuss its prevention and treatment options. Methods. A retrospective analysis was carried out of patients who underwent excision operation of fistula for postthyroidectomy skin sinus formation. Data were retrieved from medical records department of the Affiliated Hospital of Inner Mongolia Medical University. Results. Of the 5,686 patients who underwent thyroid surgery, only 5 patients (0.088%) had developed skin sinus formation. All 5 patients successfully underwent complete excision of fistula. Conclusion. Infection, foreign body, thyroid surgery procedure, combined disease, and iatrogenic factors may be related with skin sinus formation after thyroidectomy. To reduce the recurrence of postoperative infections and sinus formation, intra- and postoperative compliance with aseptic processing, intraoperative use absorbable surgical suture/ligature, repeated irrigation and drainage, and postoperative administration of anti-inflammatory treatment are to be followed.

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A Rare Case of Suppurative Aspergillosis of the Thyroid

Cited by 6 publications

References 8 publications

Aspergillus Thyroiditis: An Incidental Diagnosis in a Patient of Tubercular Meningitis, A Case Report

Aspergillus Thyroiditis: An Incidental Diagnosis in a Patient of Tubercular Meningitis, A Case Report

Discharging Sinus as a Delayed Complication of Hemithyroidectomy: A Rare Case Report

Clinical Study on the Etiology of Postthyroidectomy Skin Sinus Formation

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