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Sequential Sonographic Features of Primary Invasive Aspergillosis Involving Only the Thyroid Gland: A Case Report and Literature Review

A 29-year-old woman with systemic lupus erythematosus (SLE) presented with palpitation and neck swelling. Initial sonography showed an ill-defined hypoechoic lesion in the right thyroid gland, mentioning subacute thyroiditis. The patient received conservative care for one week. However, her neck swe...

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Detalles Bibliográficos
Autores principales: Kim, Su Ho, Kim, Jee Young, Park, Woo Chan, Kim, Mee Kyung, Kim, Tae Jung
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kowsar 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4835738/
https://www.ncbi.nlm.nih.gov/pubmed/27110341
http://dx.doi.org/10.5812/iranjradiol.27890
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author Kim, Su Ho
Kim, Jee Young
Park, Woo Chan
Kim, Mee Kyung
Kim, Tae Jung
author_facet Kim, Su Ho
Kim, Jee Young
Park, Woo Chan
Kim, Mee Kyung
Kim, Tae Jung
author_sort Kim, Su Ho
collection PubMed
description A 29-year-old woman with systemic lupus erythematosus (SLE) presented with palpitation and neck swelling. Initial sonography showed an ill-defined hypoechoic lesion in the right thyroid gland, mentioning subacute thyroiditis. The patient received conservative care for one week. However, her neck swelling worsened and she complained of dyspnea. Follow up sonography showed marked enlargement of both thyroid glands. Irregular infiltration of hypoechoic lesions was detected along the subcapsular region of both thyroid glands. She underwent immediate intubation to secure the airway and total thyroidectomy. Histopathological staining revealed features of fungal thyroiditis with fungal hyphae characteristic of Aspergillus. There was no abnormality in the lung or paranasal sinuses. In this report, we describe the sequential sonographic findings of invasive aspergillosis in the thyroid gland presenting as progressive enlargement without other organ involvement.
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spelling pubmed-48357382016-04-22 Sequential Sonographic Features of Primary Invasive Aspergillosis Involving Only the Thyroid Gland: A Case Report and Literature Review Kim, Su Ho Kim, Jee Young Park, Woo Chan Kim, Mee Kyung Kim, Tae Jung Iran J Radiol Head & Neck Imaging A 29-year-old woman with systemic lupus erythematosus (SLE) presented with palpitation and neck swelling. Initial sonography showed an ill-defined hypoechoic lesion in the right thyroid gland, mentioning subacute thyroiditis. The patient received conservative care for one week. However, her neck swelling worsened and she complained of dyspnea. Follow up sonography showed marked enlargement of both thyroid glands. Irregular infiltration of hypoechoic lesions was detected along the subcapsular region of both thyroid glands. She underwent immediate intubation to secure the airway and total thyroidectomy. Histopathological staining revealed features of fungal thyroiditis with fungal hyphae characteristic of Aspergillus. There was no abnormality in the lung or paranasal sinuses. In this report, we describe the sequential sonographic findings of invasive aspergillosis in the thyroid gland presenting as progressive enlargement without other organ involvement. Kowsar 2016-01-20 /pmc/articles/PMC4835738/ /pubmed/27110341 http://dx.doi.org/10.5812/iranjradiol.27890 Text en Copyright © 2016, Tehran University of Medical Sciences and Iranian Society of Radiology. http://creativecommons.org/licenses/by-nc/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
spellingShingle Head & Neck Imaging
Kim, Su Ho
Kim, Jee Young
Park, Woo Chan
Kim, Mee Kyung
Kim, Tae Jung
Sequential Sonographic Features of Primary Invasive Aspergillosis Involving Only the Thyroid Gland: A Case Report and Literature Review
title Sequential Sonographic Features of Primary Invasive Aspergillosis Involving Only the Thyroid Gland: A Case Report and Literature Review
title_full Sequential Sonographic Features of Primary Invasive Aspergillosis Involving Only the Thyroid Gland: A Case Report and Literature Review
title_fullStr Sequential Sonographic Features of Primary Invasive Aspergillosis Involving Only the Thyroid Gland: A Case Report and Literature Review
title_full_unstemmed Sequential Sonographic Features of Primary Invasive Aspergillosis Involving Only the Thyroid Gland: A Case Report and Literature Review
title_short Sequential Sonographic Features of Primary Invasive Aspergillosis Involving Only the Thyroid Gland: A Case Report and Literature Review
title_sort sequential sonographic features of primary invasive aspergillosis involving only the thyroid gland: a case report and literature review
topic Head & Neck Imaging
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4835738/
https://www.ncbi.nlm.nih.gov/pubmed/27110341
http://dx.doi.org/10.5812/iranjradiol.27890
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