Tuberculous Abscess of the Thyroid

  • May Uyking-Naranjo Section of Endocrinology, Diabetes and Metabolism; Department of Internal Medicine; St. Luke’s Medical Center, Quezon City, Philippines
  • Arik Paolo C. Dela Cruz Department of Otorhinolaryngology, Head and Neck Surgery, St. Luke’s Medical Center, Quezon City, Philippines
  • Gabriel V. Jasul, Jr. Section of Endocrinology, Diabetes and Metabolism; Department of Internal Medicine; St. Luke’s Medical Center, Quezon City, Philippines
  • Joseph Anthony Aranas Department of Otorhinolaryngology, Head and Neck Surgery, St. Luke’s Medical Center, Quezon City, Philippines

Abstract

Tuberculosis (TB) of the thyroid gland is rare, with acute abscess formation being the least common form of presentation.  As such, TB of the thyroid may be overlooked as an initial clinical impression. A careful approach by history, physical examination, laboratory testing and radiologic imaging may aid in defining the etiology of the thyroid abscess, but these remain nonspecific.  An accurate diagnosis may only be made by histologic examination. We present a case of a tuberculous abscess of the thyroid gland in a 37-year-old female. TB of the thyroid should also be considered when evaluating patients presenting with a painful thyroid nodule.

Downloads

Download data is not yet available.

References

Rankin FW, Graham AS. Tuberculosis of the thyroid gland. Ann Surg 1932;96(4):625-48.

Tan KK. Tuberculosis of the thyroid gland—A review. Ann Acad Med Singapore 1993;22(4):580-2.

Bulbuloglu E, Ciralik H, Okur E et al. Tuberculosis of the thyroid gland: Review of the literature. World J Surg 2006;30(2):149-55.

Khan EM, Haque I, Pandey R et al. Tuberculosis of the thyroid gland: A clinicopathological profile of four cases and review of the literature. Aust N Z J Surg 1993;63(10):807-10.

Al-Mulhim AA, Zakaria HM, Adbel Hadi MS et al. Thyroid tuberculosis mimicking carcinoma: Report of two cases. Surg Today 2002;32(12):1064-7

Goldfarb H, Schifrin D, Graig FA. Thyroiditis caused by tuberculous abscess of the thyroid gland: Case report and review of the literature. Am J Med 1965;38:825-8.

Sachs MK, Dickinson G, Amazon K. Tuberculous adenitis of the thyroid mimicking subacute thyroiditis. Am J Med 1988;85(4):573-5.

Bahadur P, Bhatnagar BNS, Aurora AL et al. Tuberculous abscess of the thyroid gland. Indian J Tuberculosis 1983;30(1):33-5.

Seed L. 1939. Tuberculosis of the thyroid gland. In Clinical Tuberculosis, edited by Benjamin Goldberg, 2nd ed. Philadelphia: F.A. Davis.

World Health Organization. Global tuberculosis control: Epidemiology, strategy, financing: WHO report 2009. Geneva: World Health Organization, 2009.

Pe et al, Tuberculous thyroiditis: An unexpected haven for the tubercle bacilli. Phil J Microbiology and Infectious Diseases 2006;35(1-2):31-7.

Reyes AY, Villafria L. Tuberculous Thyroiditis: A case report. Philipp J Surg.1958;13(5):449-51.

Ozekinci S, Mizrak B, Saruhan G, and Senturk S., Histopathologic diagnosis of thyroid tuberculosis. Thyroid 2009;19(9):983-9.

Mondal A and Patra D. Efficacy of fine needle aspiration cytology in the diagnosis of tuberculosis of the thyroid gland: A study of 18 cases. The Journal of Laryngology & Otology.1995

Gupta, N., Sharma, K., Barwad, A., Sharma, M., Rajwanshi, A., Dutta, P. and Sharma, A. Thyroid tuberculosis – role of PCR in diagnosis of a rare entity. Cytopathology. 2011;22: 392–6

Published
2014-05-22
How to Cite
Uyking-Naranjo, M., Dela Cruz, A. P. C., Jasul, Jr., G. V., & Aranas, J. A. (2014). Tuberculous Abscess of the Thyroid. Journal of the ASEAN Federation of Endocrine Societies, 27(1), 119. Retrieved from https://asean-endocrinejournal.org/index.php/JAFES/article/view/26
Section
Case Reports