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Updated: May 17, 2026
10:19
Substernal Thyroid Biopsy Using Endobronchial Ultrasound-guided Transbronchial Needle Aspiration
Published on: November 10, 2014
Primary thyroid tuberculosis.
Sunita Sanehi1, Chandrashekhar Dravid, Neena Chaudhary
1Pocket-A-1, MIG Flat No.-94, Sector-7, Rohini, Delhi, 110085 India.
Summary
Primary thyroid tuberculosis is a rare condition, even in high-incidence areas like India. Early diagnosis and treatment with anti-tubercular drugs are crucial for patient recovery.
Area of Science:
- Endocrinology
- Infectious Diseases
- Oncology
Background:
- Tuberculosis (TB) is highly prevalent in India, affecting over 40% of adults.
- Thyroid tuberculosis is an exceptionally rare manifestation of the disease.
- Increased incidence of extra-pulmonary TB necessitates recognition of rare presentations like thyroid involvement.
Observation:
- A case of a right thyroid nodule presented with low-grade fever and weight loss.
- The patient was euthyroid, with no other active TB focus, normal routine investigations, and negative sputum for Acid Fast Bacilli.
- Symptoms mimicked a typical goiter, without overt signs of thyroid dysfunction.
Findings:
- Fine Needle Aspiration Cytology (FNAC) and Contrast Enhanced Computed Tomography (CECT) confirmed Primary Thyroid Tuberculosis.
- Diagnosis was established in a euthyroid patient with an isolated thyroid nodule.
Implications:
- Highlights the importance of considering rare diagnoses like thyroid TB in patients with thyroid nodules, especially in endemic regions.
- Early diagnosis via FNAC and CECT is vital for appropriate management.
- Effective treatment involves anti-tubercular drug therapy and aspiration, leading to good patient outcomes.
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