Suppurative Thyroiditis: Coinfection by Nocardia spp. and Mycobacterium tuberculosis in an Immunocompromised Patient.
Autor: | Garcia Rueda JE; Internal Medicine, Pontifical Bolivarian University, Medellin, COL., Monsalve Naranjo AD; Internal Medicine, Pontifical Bolivarian University, Medellin, COL., Giraldo Benítez C; Internal Medicine, Pontifical Bolivarian University, Medellin, COL., Ramírez Quintero JD; Internal Medicine, Pablo Tobon Uribe Hospital, Medellin, COL. |
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Jazyk: | angličtina |
Zdroj: | Cureus [Cureus] 2024 Jul 30; Vol. 16 (7), pp. e65744. Date of Electronic Publication: 2024 Jul 30 (Print Publication: 2024). |
DOI: | 10.7759/cureus.65744 |
Abstrakt: | Suppurative thyroiditis is a rare entity with a low incidence in thyroid diseases, manifesting with pain, fever, dysphagia, and dysphonia. Its infrequency is explained by the thyroid gland's resistance to infections due to its encapsulated position, high blood flow, bactericidal action of iodine, and extensive lymphatic network. We present the first report in the literature of a 72-year-old woman with a history of inflammatory myopathy and immunosuppression diagnosed with suppurative thyroiditis co-infected with Nocardia spp. and Mycobacterium tuberculosis. This entity requires a high clinical suspicion, and fine-needle aspiration biopsy (FNAB) is preferred as the diagnostic method for microbiological sampling. Although rare, it carries high morbidity and mortality if not suspected in time. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Garcia Rueda et al.) |
Databáze: | MEDLINE |
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