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The
th Annual Meeting of March 21-22, 2015 The Endocrine Society and The Diabetes Association of the R.O.C. (Taiwan)
PE-01
THYROID TUBERCULOSIS 1,2
TSUNG-JU CHUANG, 1JHIH-SYUAN LIOU, 1YI-JEN HUNG, 1CHANG-HSUN HSIEH
1
Division of Endocrinology and Metabolism, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan; 2Department of Internal Medicine, Armed Forces Taichung General Hospital, Taichung, Taiwan
We presented a patient underlying thyroid cyst got pulmonary tuberculosis (TB) and then received treatment of anti-TB agents. Moreover, the thyroid cyst increased in size gradually despite repeated aspirations and progressed to acute thyroid abscess. Thyroid TB was diagnosed by acid fast stain of pus. However, resudial thyroid cyst remained but diminished in size after drainage of abscess and a 6-month duration of anti-TB agents therapy. Thyroid cysts are often benign with high recurrence rate and usually didn’t need aggressive treatment unless compressive symptoms. Nevertheless, they may be sensitive to TB infection and need aggressive treatment such as surgery as early as possible in patients with pulmonary TB with thyroid involvement to avoid progression to a thyroid abscess.
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