Acute tuberculosis thyroid abscess presenting with thyrotoxicosis

Sendhil Sengodan, T. Henry Prabhakaran


Tuberculosis of the thyroid gland is a rare entity even in countries like India where tuberculosis is endemic. The patients may present with thyroid swelling, inflammation and very rarely thyroid dysfunction. Caseous necrosis and epithelioid cell granulomas on fine-needle aspiration cytology and histopathological examination are diagnostic. We present two cases of thyroid gland tuberculosis. One patient had subclinical thyrotoxicosis with presentation mimicking acute bacterial thyroiditis. The other patient had a solitary thyroid nodule with normal thyroid function. Involvement of other organs was absent in both cases, Proper diagnosis may avoid unnecessary surgical interventions.

Keywords: Acute tuberculosis, Thyroid abscess, Thyrotoxicosis

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Mondal A, Patra DK. Efficacy of fine needle aspiration cytology in the diagnosis of tuberculosis of the thyroid gland. A study of 18 cases. J Laryngol Otol 1995;109:36-8.

Collar FA, Huggins CB. Tuberculosis of the thyroid gland. Ann Surg 1926;84:804-20.

Rankin FW, Graham AS. Tuberculosis of the thyroid gland. Ann Surg. 1932;96(4):625–648.

Baidya Arjun, Singha Arijit, Bhattacharjee Rana, Dalal Bibhas Saha. Tuberculosis of thyroid gland: two case reports. Oxf Med Case Reports. 2015 Apr;2015(4):262-4.

Lebert H. Die Krankheiten der Schilddrüse und ihre Behandlung. BRESLAU 1862;264.

Jhonson AG, Thomas RJ. Acute tuberculous abscess – the thyroid gland Br.J.Surg 1973;60:668-669.

Orlandi F, Fiorni S, Gonzatto I. Tubercular involvement of the thyroid gland: a report of two cases. Horm Res 1999;52:291-4.

Tan KK. Tuberculosis of the thyroid gland–a review. Ann Acad Med Singapore 1993;22:580-2.

El Malki HO, el Absi M, Mohsine R. Tuberculosis of the thyroid. Diagnosis and treatment. Ann Chir 2002;127:385-7.