[Clinical and morphopathological study in tuberculosis of the thyroid gland].
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A 73-year-old patient suffering from evolutive nodular goiter, free of other local complaints or changes in the general status is presented. A diagnosis of tuberculous thyroiditis with hypothyroidism is reached. This diagnosis is justified by the antecedents of the patient, positive IDR, low iodine uptake, characteristic scintigraphic and echographic picture of the thyroid. Following a treatment with tuberculostatics, potassium iodide and controlled life regimen for a year, thyroiditis was cured as proved by scintigraphic and echographic evidence, and normal iodine uptake and PBI.
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Infections of the thyroid gland have been reported for various organisms, bacterial, parasite, fungus and virus, acute or chronic, suppurative or non-suppurative. Two rare conditions when combined are even rarer, the tuberculous abscess of the retrosternal thyroid gland, causing extrinsic pressure effect and producing dysphagia. Rapid relief of symptoms occurred after surgery and followed after antituberculous therapy.
At the example of a 62-year-old female patient with a "white" Addison as a sequela of a bilateral tuberculosis of the adrenal glands the problems of the diagnostics of this clinical picture are described. It is referred to the necessity of thinking of an existing chronic primary insufficiency of the adrenal cortex, also when there is no hyperpigmentation which otherwise serves as principle sign.
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