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Endocrine Abstracts (2015) 37 EP1275 | DOI: 10.1530/endoabs.37.EP1275

Central Hospital of Army, Algiers, Algeria.


Tuberculosis of the thyroid gland occurs rarely, and should be considered in the diagnosis of nodular lesion of the thyroid gland. We report the case of a 44-year-old woman admitted for therapeutic management of a suspected goiter appeared at 2 months of hospitalisation and quickly increasing in volume in a few days, she had a goiter clinically type 2, firm, homogeneous, without palpable nodules in it, hardly moving with swallowing movements with slight dysphagia without signs of thyroid dysfunction. Cervical ultrasound: found a suspicious mass in the right thyroid lodge. FNA of cervical mass found the CPE side for a very granulomatous thyroiditis DeQuervain IDR A Tuberculin had regained energy. The patient received a total thyroidectomy before the signs of malignancy on ultrasound. Histology was in favor of a histopathology of thyroid and thyroid localization soft tissue died a Caseo folliculaire.mise tuberculosis TB treatment with good clinical course.

Conclusions: Thyroid tuberculosis is a rare disease, which can take various forms, especially you must think in TB endemic area, the diagnosis is histological and/or bacteriological. Treatment is primarily medical, based on a combination of anti tuberculosis. Preoperative diagnosis of thyroid tuberculosis is important because of the availability of medical treatments and the limited role of surgery.

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