Katusiime Christine, Ocama Ponsiano, Kambugu Andrew
Department of Prevention, Counselling and Treatment, Makerere University, College of Health Sciences, Infectious Diseases Institute, Kampala, Uganda.
BMJ Case Rep. 2011 May 16;2011:bcr0420114053. doi: 10.1136/bcr.04.2011.4053.
Abscess formation in the thyroid gland is particularly a rare phenomenon and presents a medical and surgical dilemma especially in HIV seropositive patients. The authors report a case of a paradoxical tuberculous abscess immune reconstitution inflammatory syndrome involving the thyroid gland in a 37-year-old woman who presented 12 weeks after initiation of antiretroviral therapy at the Infectious Diseases Institute, Kampala, Uganda. The patient is still undergoing treatment.
甲状腺脓肿是一种特别罕见的现象,尤其在HIV血清阳性患者中会带来医学和外科方面的两难困境。作者报告了一例矛盾性结核性脓肿免疫重建炎症综合征累及甲状腺的病例,患者为一名37岁女性,在乌干达坎帕拉传染病研究所开始抗逆转录病毒治疗12周后出现症状。该患者仍在接受治疗。