Localized Aspergillus thyroiditis in patients with diabetic nephropathy

Elif Sahin Horasan; Ramazan Gen; Esen Akbay; Yusuf Vayisoglu; Ahmet Kiyim

doi:10.1530/endoabs.35.P271

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Endocrine Abstracts (2014) 35 P271 | DOI: 10.1530/endoabs.35.P271

ECE2014 Poster Presentations Clinical case reports Thyroid/Others (72 abstracts)

Localized Aspergillus thyroiditis in patients with diabetic nephropathy

Elif Sahin Horasan ² , Ramazan Gen ¹ , Esen Akbay ¹ , Yusuf Vayisoglu ⁴ & Ahmet Kıykım ³

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¹Mersin University Endocrinology and Metabolism, Mersin, Turkey; ²Mersin University Infection Disease, Mersin, Turkey; ³Mersin University Nephrology, Mersin, Turkey; ⁴Mersin University Otorhinolaryngology, Mersin, Turkey.

Aspergillosis is a major problem in immunosupressed patients. We report a 65-year-old male patient with chronic renal failure (CRF) due to diabetic nephropathy who had arthralgy, malaise and high C-reactive protein level. Chest computed tomography revealed that thyroid nodule in the left thyroid lobe. Fine-needle aspiration biopsy of the thyroid revelead thyroidal invasion of Aspergillus. High-resolution computed tomograghy (HRCT) of the chest showed no evidence of intrapulmonary fungal lesions. We started voriconazole treatment. After treatment with voriconazole, clinical and laboratory improvement was seen.