Citation Information :
Kamil HS, Muthukumar S, Jayakumar P, Latha D, Karunakaran K, Adharshkumar M. An Infection Burden on Thyroid (Tuberculosis of Thyroid): A Case Report. World J Endoc Surg 2020; 12 (1):27-29.
Aim: To enlighten the treating physician about the importance of tuberculosis (TB) of thyroid. Background: Though the prevalence of TB is high in country like India, TB affecting the thyroid gland is a rare entity due to inherent antibacterial properties of the gland. A high degree of suspicion and thorough clinical knowledge is absolutely necessary for identification of this entity. Case description: A 55-year-old man presented with 8 weeks’ history of swelling in midline of the neck and 2 weeks’ history of pain over the swelling. Blood investigations including the thyroid profile were normal. Clinical examination was suggestive of infected thyroglossal cyst along with multinodular goiter. Ultrasound confirmed the clinical diagnosis and in addition revealed bilateral cervical lymph nodes. Ultrasound-guided fine-needle aspiration cytology (FNAC) of thyroid was inconclusive and FNAC of lymph nodes showed reactive changes. Patient underwent total thyroidectomy along with Sistrunk operation and biopsy of both right- and left-sided cervical lymph nodes. Incidentally, he was diagnosed with hypocortisolism as the patient went in for hypotension intraoperatively, which was managed appropriately. Histopathology revealed TB of the thyroid. Conclusion: Tuberculosis of thyroid, though a rare entity, should be borne in mind and included in the differential diagnosis, particularly in countries with high TB burden. Clinical significance: Identification of such conditions preoperatively can avoid unnecessary surgeries as these conditions can be managed by medical treatment.
Zivaljevic V, Paunovic I, Diklic A. Tuberculosis of thyroid gland: a case report. Acta Chir Belg 2007;107(1):70–72. DOI: 10.1080/00015458.2007.11680016.
Khan NA, Patgaroo AR, Murtaza SW, et al. Isolated tuberculosis of thyroid gland. JK Sci 2002;4:87–88.
Rakotoarisoa AHN, Riel AM, Rakoto FA, et al. Tuberculosis of the thyroid gland: a report of two cases. Fr ORL 2007;92:318–320.
Abdulsalam F, Abdulaziz S, Mallik AA. Primary tuberculosis of the thyroid gland. Kuwait Med J 2005;37:116–118.
Johnson AG, Phillips ME, Thomas RJ. Acute tuberculous abscess of the thyroid gland. Br J Surg 1973;60(8):668–669. DOI: 10.1002/bjs.1800600825.
Baskota DK, Prasad R, Kumar Sinha B, et al. Distribution of lymph nodes in the neck in cases of tuberculous cervical lymphadenitis. Acta Otolaryngol 2004;124(9):1095–1098. DOI: 10.1080/00016480410018089.
Maharjan M, Hirachan S, Kafle PK, et al. Incidence of tuberculosis in enlarged neck nodes, our experience. Kathmandu Univ Med J (KUMJ) 2009;7(25):54–58. DOI: 10.3126/kumj.v7i1.1766.
Pandit AA, Joshi AS, Ogale SB, et al. Tuberculosis of thyroid gland. Indian J Tub 1997;44:205–207.
Muyanja D, Kalyesubula R, Namukwaya E, et al. Diagnostic accuracy of fine needle aspiration cytology in providing a diagnosis of cervical lymphadenopathy among HIV-infected patients. Afr Health Sci 2015;15(1):107–116. DOI: 10.4314/ahs.v15i1.15.
Bulbuloglu E, Ciralik H, Okur E, et al. Tuberculosis of the thyroid gland: review of the literature. World J Surg 2006;30(2):149–155. DOI: 10.1007/s00268-005-0139-1.
Talwar VK, Gupta H, Kumar A. Isolated tuberculous thyroiditis. J Indian Acad Clin Med 2003;4(3):238–239.
Orlandi F, Fiorini S, Gonzatto I, et al. Tubercular involvement of the thyroid gland: a report of two cases. Horm Res 1999;52(6):291–294. DOI: 10.1159/000023498.
Majid U, Islam N. Thyroid tuberculosis: a case series and a review of the literature. J Thyroid Res 2011;2011:359864. DOI: 10.4061/2011/359864.
Akbulut S, Sogutku N, Arikanoglu Z, et al. Thyroid tuberculosis in southeastern Turkey: is this the resurgence of a stubborn disease? World J Surg 2011;35(8):1847–1852. DOI: 10.1007/s00268-011- 1118-3.
Haddara WM, van Uum SH. TB and adrenal insufficiency. CMAJ 2004;171(7):710, author reply 710–711. DOI: 10.1503/cmaj.1041046.