Kim Su Ho, Kim Jee Young, Park Woo Chan, Kim Mee Kyung, Kim Tae Jung
Department of Radiology, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Department of Surgery, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Iran J Radiol. 2016 Jan 20;13(1):e27890. doi: 10.5812/iranjradiol.27890. eCollection 2016 Jan.
A 29-year-old woman with systemic lupus erythematosus (SLE) presented with palpitation and neck swelling. Initial sonography showed an ill-defined hypoechoic lesion in the right thyroid gland, mentioning subacute thyroiditis. The patient received conservative care for one week. However, her neck swelling worsened and she complained of dyspnea. Follow up sonography showed marked enlargement of both thyroid glands. Irregular infiltration of hypoechoic lesions was detected along the subcapsular region of both thyroid glands. She underwent immediate intubation to secure the airway and total thyroidectomy. Histopathological staining revealed features of fungal thyroiditis with fungal hyphae characteristic of Aspergillus. There was no abnormality in the lung or paranasal sinuses. In this report, we describe the sequential sonographic findings of invasive aspergillosis in the thyroid gland presenting as progressive enlargement without other organ involvement.
一名29岁的系统性红斑狼疮（SLE）女性患者出现心悸和颈部肿胀。初始超声检查显示右侧甲状腺有一个边界不清的低回声病变，提示亚急性甲状腺炎。患者接受了一周的保守治疗。然而，她的颈部肿胀加重，并主诉呼吸困难。后续超声检查显示双侧甲状腺明显肿大。在双侧甲状腺的包膜下区域检测到低回声病变的不规则浸润。她立即接受了气管插管以确保气道通畅，并进行了甲状腺全切除术。组织病理学染色显示为真菌性甲状腺炎，具有曲霉菌特征性的真菌菌丝。肺部和鼻窦无异常。在本报告中，我们描述了甲状腺侵袭性曲霉病的系列超声检查结果，表现为甲状腺进行性肿大且无其他器官受累。
