1/2. Thyroid tuberculosis mimicking carcinoma: report of two cases.Among 527 patients with thyroid disease who underwent surgery at our hospital during a 20-year period, 2 (0.4%) had tuberculous thyroiditis mimicking carcinoma. The first patient was a 44-year-old man with a solitary thyroid nodule and the second was a 24-year old man with a thyroid abscess. The unexpected diagnosis was made postoperatively and was based on histological findings in both patients. No primary focus was found elsewhere in either patient, and both responded to antituberculous chemotherapy. Although the diagnosis is usually based on examination of resected specimens, recent reports indicate that find-needle aspiration cytology is a cost-effective technique of diagnosing thyroid tuberculosis. A review of 35 cases reported in the English literature is also discussed.- - - - - - - - - - ranking = 1keywords = thyroid nodule, nodule (Clic here for more details about this article) |
2/2. salmonella brandenburg: a novel cause of acute suppurative thyroiditis.A patient with suppurative thyroiditis due to infection with salmonella brandenburg is reported. Localization of the infection occurred to a pre-existing thyroid nodule after salmonella bacteremia. S. brandenburg was isolated in pure culture from the fluid obtained by needle aspiration of the suppurated thyroid nodule. Surgical drainage followed by subtotal thyroidectomy was required to cure the disease. No evidence of pyriform sinus fistula was found. Suppurative thyroiditis due to salmonella ubiquitous serotypes is an extremely rare condition, and infection to the thyroid produced by S. brandenburg is reported now for the first time. Indeed, the isolation rate of S. brandenburg from all human sources is low, and this microorganism is an uncommon agent of bacteremia.- - - - - - - - - - ranking = 2keywords = thyroid nodule, nodule (Clic here for more details about this article) |