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LETTER TO THE EDITOR
Year : 2018  |  Volume : 15  |  Issue : 2  |  Page : 99

Thyroid abscess: A rare case report and review of literature


Department of Paediatrics, Al-Kindy College of Medicine, University of Baghdad, Baghdad, Iraq

Date of Web Publication17-Jul-2018

Correspondence Address:
Mahmood Dhahir Al-Mendalawi
Department of Paediatrics, Al-Kindy College of Medicine, University of Baghdad, P.O. Box 55302, Baghdad Post Office, Baghdad
Iraq
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/trp.trp_18_18

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How to cite this article:
Al-Mendalawi MD. Thyroid abscess: A rare case report and review of literature. Thyroid Res Pract 2018;15:99

How to cite this URL:
Al-Mendalawi MD. Thyroid abscess: A rare case report and review of literature. Thyroid Res Pract [serial online] 2018 [cited 2018 Aug 14];15:99. Available from: http://www.thetrp.net/text.asp?2018/15/2/99/236700



Sir,

I read with interest the case report by Sharma et al. on the thyroid abscess (TA) in an Indian patient.[1] As thyroid gland is markedly resistant to infectious agents due to several protective mechanisms, the authors attributed the occurrence of TA to immunocompromised state secondary to exogenous steroid as suggested by low basal serum cortisol.[1] I presume that the underlying human immunodeficiency virus (HIV) infection might further contribute to the development of TA in the studied patient. My presumption is based on the following point. It is explicit that due to impaired immunity, patients with HIV infection have increased tendency to have various infections compared to healthy individuals. Bacterial, fungal, and mycobacterial TA have been reported among HIV-positive patients.[2],[3],[4] To my knowledge, HIV infection is an important health hazard in India. The available data pointed out to 0.26% HIV seroprevalence compared with a global average of 0.2%.[5] I presume that implementing the diagnostic algorithm of CD4 count and viral overload estimations was solicited in the studied patient. If that diagnostic algorithm was accomplished and it showed underlying HIV infection, the case in question could be truly considered a novel case report of HIV-associated TA in India.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Sharma B, Bhavi VK, Nehra HR, Kumar A, Saran S, Mathur SK. Thyroid abscess: A rare case report and review of literature. Thyroid Res Pract 2018;15:49-51.  Back to cited text no. 1
  [Full text]  
2.
Kazi S, Liu H, Jiang N, Glick J, Teng M, LaBombardi V, et al. Salmonella thyroid abscess in human immunodeficiency virus-positive man: A diagnostic pitfall in fine-needle aspiration biopsy of thyroid lesions. Diagn Cytopathol 2015;43:36-9.  Back to cited text no. 2
    
3.
Jinno S, Chang S, Jacobs MR. Coccidioides thyroiditis in an HIV-infected patient. J Clin Microbiol 2012;50:2535-7.  Back to cited text no. 3
    
4.
Kiertiburanakul S, Sungkanuparph S, Malathum K, Pracharktam R. Concomitant tuberculous and cryptococcal thyroid abscess in a human immunodeficiency virus-infected patient. Scand J Infect Dis 2003;35:68-70.  Back to cited text no. 4
    
5.
Paranjape RS, Challacombe SJ. HIV/AIDS in India: An overview of the Indian epidemic. Oral Dis 2016;22 Suppl 1:10-4.  Back to cited text no. 5
    




 

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