Rapidly Growing Thyroid Mass in an Immunocompromised Young Male Adult. (9th July 2013)

• Record Type: Journal Article
• Authors: Santiago, Mónica; Martinez, José Hernán; Palermo, Coromoto; Figueroa, Carlos; Torres, Oberto; Trinidad, Rafael; Gonzalez, Eva; Miranda, Maria de Lourdes; Garcia, Miosotis; Villamarzo, Guillermo
• Other Names: Isozaki O. Academic Editor.; Kane M. P. Academic Editor.; Meyer L. Academic Editor.
• Is Part Of: Case reports in endocrinology. Volume 2013(2013)
• Publication Date: 2013-07-09
• Subjects: Endocrinology -- Periodicals; Endocrinology -- Case studies -- Periodicals; Endocrine glands -- Diseases -- Periodicals; Endocrinology; Endocrine System Diseases; Endocrine glands -- Diseases; Endocrinology; Electronic journals; Periodicals; Case studies; Periodicals; Case Reports; Fulltext; Internet Resources; Periodicals; 616.4
• DOI: 10.1155/2013/290843
• Languages: English
• ISSNs: 2090-6501

Abstract

Abstract : We describe a 20-year-old man diagnosed with a myelodysplastic syndrome (MDS), admitted to our hospital due to pancytopenia and fever of undetermined origin after myelosuppression with chemotherapy. Disseminated aspergillosis (DIA) was suspected when he developed skin and lung involvement. A rapidly growing mass was detected on the left neck area, during hospitalization. A thyroid ultrasound reported a 3.7 × 2.5 × 2.9 cm oval heterogeneous structure, suggestive of an abscess versus a hematoma. Fine needle aspiration of the thyroid revealed invasion of aspergillosis. Fungal thyroiditis is a rare occurrence. Thyroid fungal infection is difficult to diagnose; for this reason it is rarely diagnosed antemortem. To our knowledge, this is the 10th case reported in the literature in an adult where the diagnosis of fungal invasion to the thyroid was able to be corroborated antemortem by fine needle aspiration biopsy.