림프절 결핵완치 후 갑상선 결핵으로 재발된 1예
Recurrence of thyroid tuberculosis after complete treatment of lymph node tuberculosis
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
결핵의 유병률이 높은 국내에서 갑상선 결핵은 드물고, 속립성 결핵의 갑상선 침범이나 갑상선 결절, 갑상선염, 농양 또는 갑상선암이 의심되어 갑상선 절제 후 갑상선 결핵으로 진단되어 항결핵제로 치료한 경우가 대부분이다. 저자들은 6년 전 경부 림프절 결핵으로 항결핵제를 복용한 후 완치판정을 받은 32세 여자 환자에서 갑상선 종괴가 우연히 발견되어 미세침흡인세포 검사를 통해 항산균을 확인하고 갑상선 결핵으로 진단한 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
Thyroid tuberculosis is rare, and primary tuberculosis is extremely rare. In most cases, thyroid tuberculosis presents as a thyroid nodule, thyroiditis, thyroid abscess, or thyroid cancer, and is often diagnosed after thyroidectomy. We experienced a case of thyroid tuberculosis that presented as a palpable thyroid nodule in a 32-year-old female patient. The patient had been previously diagnosed with cervical tuberculous lymphadenitis and had been treated successfully 6 years ago. Fine needle aspiration of the thyroid gland showed a small number of neutrophils and macrophages in a necrotic background, and many acid-fast bacilli were found with AFB staining. The patient began anti-tuberculosis therapy as an outpatient and is currently being followed regularly. Here, we report a case of thyroid tuberculosis diagnosed after the apparent cure of cervical lymph node tuberculosis. Additionally, a review of the literature is included.
참고문헌 (19)
- 김미진, "속립성 결핵과 동반된 침생검으로 진단된 갑상선 결핵 1예", 대한내과학회지, 65, pp.S757~S762 (2003)
- 이명복, "갑상선 결핵 1예 보고", 대한내과학회지, 28, pp.127~129 (1985)
- 박선미, "갑상선의 결핵성 농양", 대한내분비학회지, 7, pp.149~152 (1992)
- 이재복, "정상기능을 보였던 갑상선 결핵 2예", 대한내분비학회지, 9, pp.380~384 (1994)
- 이동훈, "비수술적 방법으로 진단된 갑상선 결핵 1예", 대한내분비학회지, 17(4), pp.572~575 (2002), 대한내분비학회
- 김학수, "갑상선결핵", 대한내과학회지, 10, pp.177~180 (1968)
- Rankin FW, "Tuberculosis of the thyroid gland", Ann Surg, 96, pp.625~648 (1932)
- Goldfarb H, "Thyroiditis caused by tuberculous abscess of the thyroid gland: case report and review of the literature", Am J Med, 38, pp.825~828 (1965)
- "Status of lymphadenoid goiter, Hashimoto’s and Riedel’s disease", Ann R Coll Surg Engl, 10, pp.369~404 (1952)
- Mondal A, "Efficacy of fine needle aspiration cytology in the diagnosis of tuberculosis of the thyroid gland: a study of 18 cases", J Laryngol Otol, 109, pp.36~38 (1995)
- Das DK, "Fine needle aspiration cytology diagnosis of tuberculous thyroiditis: a report of eight cases", Acta Cytol, 36, pp.517~522 (1992)
- Barnes P, "Tuberculosis of the thyroid: two case reports", Br J Dis Chest, 73, pp.187~191 (1979)
- Orlandi F, , Tubercular involvement of the thyroid gland: a report of two cases., 52, pp.291~294 (1999)
- Mondal A, "Efficacy of fine needle aspiration cytology in the diagnosis of tuberculosis of the thyroid gland: a study of 18 cases", J Laryngol Otol, 109, pp.36~38 (1995)
- Bulbuloglu E, "Tuberculosis of the thyroid gland: review of the literature", World J Surg, 30, pp.149~155 (2006)
- Kang BC, "Tuberculosis of the thyroid gland: US and CT finding", J Korean Soc Med Ultrasound, 16, pp.65~69 (1997)
- Chung SY, "Sonographic findings of tuberculous thyroiditis in a patient with Behcet’s syndrome", J Clin Ultrasound, 30, pp.184~188 (2002)
- Tan KK, "Tuberculosis of the thyroid gland: a review", Ann Acad Med Singapore, 22, pp.580~582 (1993)
- Takami H, "Tuberculous thyroiditis: report of a case with a review of the literature", Endocr J, 41, pp.743~747 (1994)