Acute tuberculous abscess of the thyroid gland: Figure 1

Bahgat, Mohammed; Bahgat, Yassin; Bahgat, Ahmed; Aly, Samia

doi:10.1136/bcr-2012-006906

Cited by 9 publications

(3 citation statements)

References 7 publications

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“…Our patient was at increased risk to develop tuberculosis due to mycophenolate mofetil administration, renal insufficiency, and diabetes mellitus and previously living in an indigenous tuberculosis region [ 13 ]. In our case, disseminated tuberculosis was diagnosed, associated with a tuberculous neck mass contiguous with the thyroid gland with some features similar to previously published cases [ 14 – 16 ].…”

Section: Discussionsupporting

confidence: 86%

Renal Transplant–Associated Thyroid Tuberculosis

Levitt

Mesmar

Munir

2017

Journal of the Endocrine Society

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Tuberculosis is common among solid-organ transplant recipients, including renal transplants. Tuberculosis of the thyroid gland is a rare diagnosis. We report on a renal transplant recipient with subacute fever associated with a neck mass diagnosed as thyroid tuberculosis. No prior publication has reported a case of posttransplant thyroid tuberculosis. This is an important diagnostic consideration, in addition to malignant transformation, in the posttransplant setting.

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Section: Discussionsupporting

confidence: 86%

Renal Transplant–Associated Thyroid Tuberculosis

Levitt

Mesmar

Munir

2017

Journal of the Endocrine Society

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“…In 1893, Bruns reported the first case of tuberculous thyroiditis. Since then, relatively few cases have been reported, and most have been associated with tubercular foci elsewhere in the body (5). Helicobacter cinaedi have also been reported as a causative organism by Takehara et al (6).…”

Section: Discussionmentioning

confidence: 99%

Salmonella thyroid abscess—two case reports

Khoo¹,

Koh²,

Ng³

2020

Gland Surg

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Acute suppurative thyroiditis account for <1% of thyroid diseases and is uncommon because of the gland's encapsulation, iodine-rich environment, good vascular supply and extensive lymphatic drainage. It has been reported in patients with underlying goiters, thyroid cancers and in immuno-compromised patients.The usual causative organisms are Staphylococci spp. and Streptococci spp. Rarer organisms include Klebsiella spp. and Salmonella spp. Due to its rarity (as there have been only 28 cases of Salmonella thyroid abscess being reported in the literature till 2020), only case reports are available to guide management. We report two cases of thyroid abscess due to Salmonella enteritidis in our institution that may herald the re-emergence of this uncommon infection of the thyroid gland and to raise awareness for all clinicians. Both patients presented with neck swelling, dysphagia and sepsis. Surgical intervention was warranted in both patients due to the severity of the disease and failed medical therapy. Recovery was uneventful following adequate surgical intervention and antibiotic therapy according to the culture and sensitivity report of the pathogen. This case report highlights that both patients were immunocompromised, and they contracted Salmonella thyroid abscess without any gastrointestinal involvement. Thus, a high index of suspicion for Salmonella thyroid abscess in immunocompromised patients can expedite the diagnosis and appropriate management can be commenced such as antibiotic therapy, percutaneous aspiration and surgical drainage in the event of failed medical therapy.

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“…However, a definitive diagnosis depends on finding caseating granulomas on the histopathological examination, positive staining for acid-fast bacilli, positive culture of Mycobacterium tuberculosis and a prompt therapeutic response to antituberculous drugs. 13 In approximately a quarter of cases where cytology shows no evidence of TB, the culture will be positive. 9 Ziehl-Neelson stain for acid-fast bacilli was negative, but MGIT 960 culture was positive for MTB in our patient.…”

Section: Descriptionmentioning

confidence: 99%