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经CBNAAT诊断的原发性甲状腺结核

Primary Thyroid Tuberculosis Diagnosed with CBNAAT.

作者信息

Abishek R, Gargi Gaveshna, Saini Amit

机构信息

Department of Otolaryngology, Dr RKGMC, Hamirpur, H.P India.

Department of General Medicine, Dr RKGMC, Hamirpur, H.P India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2025 Feb;77(2):1067-1069. doi: 10.1007/s12070-024-05268-5. Epub 2024 Dec 10.

Abstract

Tuberculosis is a common disease in India but even then Primary tuberculosis of Thyroid gland is an extremely rare clinical scenario. Diagnosis of this rare disease requires very high level of clinical suspicion as the clinical features have no distinct characteristics and usually mimic with bacterial thyroiditis, thyrotoxicosis, thyroid carcinoma, lymphoma etc. Historically most of patients were diagnosed through histopathology in post operative thyroidectomy specimens. Here we present a case of primary tuberculosis of thyroid which was initially suspected to be a case of deep neck space abscess and was diagnosed by cartridge based nucleic acid amplification test (CBNAAT) through fine needle aspiration cytology (FNAC) of gland.

摘要

结核病在印度是一种常见疾病,但即便如此,甲状腺原发性结核仍是一种极为罕见的临床情况。诊断这种罕见疾病需要高度的临床怀疑,因为其临床特征没有明显特点,通常会与细菌性甲状腺炎、甲状腺毒症、甲状腺癌、淋巴瘤等疾病相似。从历史上看,大多数患者是在甲状腺切除术后的标本中通过组织病理学诊断出来的。在此,我们报告一例甲状腺原发性结核病例,该病例最初被怀疑是颈部深部间隙脓肿,通过对甲状腺进行细针穿刺抽吸细胞学检查(FNAC),采用基于 cartridge 的核酸扩增检测(CBNAAT)得以确诊。

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