Hypothyroidism and multinodular goiter due to tubercular thyroiditis: A rare coexistence.

Autor:	Sbai AA; Department of Ear Nose and Throat, Mohammed VI University Hospital, Medical School, Mohammed the First University, Oujda, Morocco., Draoui N; Endocrinology and Diabetology Departement, Morocco., Tsen AA; Laboratory of Epidemiology, Clinical Research and Public Health, Faculty of Medicine and Pharmacy of Oujda, Mohammed the First University, Morocco.; Department of Cervicofacial Surgery, Mohammed VI University Hospital, Medical School, Mohammed the First University, Oujda, Morocco., Elayoubi F; Department of Ear Nose and Throat, Mohammed VI University Hospital, Medical School, Mohammed the First University, Oujda, Morocco.; Laboratory of Epidemiology, Clinical Research and Public Health, Faculty of Medicine and Pharmacy of Oujda, Mohammed the First University, Morocco.
Jazyk:	angličtina
Zdroj:	Annals of medicine and surgery (2012) [Ann Med Surg (Lond)] 2022 Sep 16; Vol. 82, pp. 104724. Date of Electronic Publication: 2022 Sep 16 (Print Publication: 2022).
DOI:	10.1016/j.amsu.2022.104724
Abstrakt:	Introduction and Importance: the diagnosis of thyroid tuberculosis is often difficult, on account of its rarity even in countries with endemic tuberculosis, and on account of its non-specific clinical, biological and radiological presentation. Case Presentation: A 38-year-old woman presented with swelling in the anterior part of the neck for 7 years. Clinical and radiological examination found multinodular goiter and fine needle aspiration cytology showed colloidal cells with follicular cells. A total thyroidectomy was performed and histological examination of showed epithelioid and giganto-cellular granulomatous with caseous necrosis, confirming the diagnosis of tuberculous thyroiditis. Clinical Discussion: Tuberculosis of the thyroid gland is a very rare disease, the diagnosis is often made by fine needle aspiration cytology (FNAC), the treatment is mainly medical with antituberculosis drugs, but surgery remains a therapeutic means for some cases. Conclusion: The diagnosis of thyroid TB should be suspected in the presence of a thyroid swelling or nodule, especially in countries with a high prevalence of TB, to allow for early and appropriate management. Competing Interests: The authors declare no conflicts of interest. (© 2022 The Authors.)
Databáze:	MEDLINE
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