The Korean Journal of Internal Medicine

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Original Article
Korean J Med. 2009;77(6):771-774.
림프절 결핵완치 후 갑상선 결핵으로 재발된 1예
유희용, 정철호, 노미오, 박형규, 변동원, 서교일, 유명희
Recurrence of thyroid tuberculosis after complete treatment of lymph node tuberculosis
Hee-Yong Yoo, Chul-Ho Chung, Mi-Oh Roh, Hyeong Kyu Park, Dong-Won Byon, Kyo-Il Suh, Myung-Hi Yoo


Abstract
Thyroid tuberculosis is rare, and primary tuberculosis is extremely rare. In most cases, thyroid tuberculosis presents as a thyroid nodule, thyroiditis, thyroid abscess, or thyroid cancer, and is often diagnosed after thyroidectomy. We experienced a case of thyroid tuberculosis that presented as a palpable thyroid nodule in a 32-year-old female patient. The patient had been previously diagnosed with cervical tuberculous lymphadenitis and had been treated successfully 6 years ago. Fine needle aspiration of the thyroid gland showed a small number of neutrophils and macrophages in a necrotic background, and many acid-fast bacilli were found with AFB staining. The patient began anti-tuberculosis therapy as an outpatient and is currently being followed regularly. Here, we report a case of thyroid tuberculosis diagnosed after the apparent cure of cervical lymph node tuberculosis. Additionally, a review of the literature is included.

Keywords :Thyroid gland, Tuberculosis
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