Majumder Anusree, Sen Debraj
Department of Pathology, Command Hospital, Pune, Maharashtra, India.
Department of Radiodiagnosis and Imaging, Command Hospital, Pune, Maharashtra, India.
Indian J Pathol Microbiol. 2020 Jan-Mar;63(1):83-85. doi: 10.4103/IJPM.IJPM_719_18.
Tuberculosis (TB) continues to be a major public health problem in India. With an annual incidence rate of 2.8 million new cases, India accounts for a quarter of the global TB burden. Primary thyroid TB still remains a rare entity even in this era of global TB pandemic. Here we discuss a case of primary thyroid TB in a 22-year-old immunocompetent male patient presenting with a thyroid swelling followed by non-healing sinus tract after fine-needle aspiration cytology (FNAC) procedure. TB is a known common cause for development of chronic sinuses and ulcers. However, the primary involvement of thyroid gland along with formation of non-healing sinus tract post FNAC make it a most unusual case posing a diagnostic challenge to the unsuspecting physician.
结核病在印度仍然是一个重大的公共卫生问题。印度每年有280万新发病例，占全球结核病负担的四分之一。即使在全球结核病大流行的这个时代，原发性甲状腺结核仍然是一种罕见的疾病。在此，我们讨论一例22岁免疫功能正常的男性原发性甲状腺结核病例，该患者表现为甲状腺肿大，在细针穿刺活检（FNAC）术后出现不愈合的窦道。结核病是慢性窦道和溃疡形成的常见已知原因。然而，甲状腺的原发性受累以及FNAC术后形成不愈合的窦道，使其成为一个非常罕见的病例，给毫无戒心的医生带来了诊断挑战。
