The Indian Practitioner

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Tubercular Cold Abscess of Thyroid Gland


Affiliations
1 Department of Endocrinology, Topiwala National Medical College and Byl Nair Charitable Hospital, Ollege Building, 4th Floor, Mumbai Central-400008, India
2 Department Of Endocrinology, Topiwala National Medical College And Byl Nair Charitable Hospital, Mumbai Central, India
     

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We report a case of thyroid tuberculosis (TTB) who presented with symptoms of thyrotoxicosis. Ultrasonography(USG) was suggestive of cold abscess within the thyroid gland. Fine needle aspiration cytology (FNAC) was showing caseation necrosis and acid fast bacilli were seen by ziehl neelson staining of the FNA material. Patient made an uneventful recovery with antitubercular medication. Although seldom observed, tuberculosis(TB) should be kept in mind in the differential diagnosis of nodular lesions of the thyroid. It is one of the conditions where FNAC can avoid the need for surgery.
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  • Tubercular Cold Abscess of Thyroid Gland

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Authors

Ameya S. Joshi
Department of Endocrinology, Topiwala National Medical College and Byl Nair Charitable Hospital, Ollege Building, 4th Floor, Mumbai Central-400008, India
Premlata K. Varthakavi
Department Of Endocrinology, Topiwala National Medical College And Byl Nair Charitable Hospital, Mumbai Central, India
Nikhil M. Bhagwat
Department Of Endocrinology, Topiwala National Medical College And Byl Nair Charitable Hospital, Mumbai Central, India
Gururaja Rao
Department Of Endocrinology, Topiwala National Medical College And Byl Nair Charitable Hospital, Mumbai Central, India

Abstract


We report a case of thyroid tuberculosis (TTB) who presented with symptoms of thyrotoxicosis. Ultrasonography(USG) was suggestive of cold abscess within the thyroid gland. Fine needle aspiration cytology (FNAC) was showing caseation necrosis and acid fast bacilli were seen by ziehl neelson staining of the FNA material. Patient made an uneventful recovery with antitubercular medication. Although seldom observed, tuberculosis(TB) should be kept in mind in the differential diagnosis of nodular lesions of the thyroid. It is one of the conditions where FNAC can avoid the need for surgery.