Rapidly Growing Thyroid Mass in an Immunocompromised Young Male Adult

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...

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Main Authors: Mónica Santiago, José Hernán Martinez, Coromoto Palermo, Carlos Figueroa, Oberto Torres, Rafael Trinidad, Eva Gonzalez, Maria de Lourdes Miranda, Miosotis Garcia, Guillermo Villamarzo
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Endocrinology
Online Access:http://dx.doi.org/10.1155/2013/290843
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author Mónica Santiago
José Hernán Martinez
Coromoto Palermo
Carlos Figueroa
Oberto Torres
Rafael Trinidad
Eva Gonzalez
Maria de Lourdes Miranda
Miosotis Garcia
Guillermo Villamarzo
author_facet Mónica Santiago
José Hernán Martinez
Coromoto Palermo
Carlos Figueroa
Oberto Torres
Rafael Trinidad
Eva Gonzalez
Maria de Lourdes Miranda
Miosotis Garcia
Guillermo Villamarzo
author_sort Mónica Santiago
collection DOAJ
description 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.
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publishDate 2013-01-01
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series Case Reports in Endocrinology
spelling doaj-art-a4aefb8fc6644ca5b007de92f521bfa52025-08-20T02:23:04ZengWileyCase Reports in Endocrinology2090-65012090-651X2013-01-01201310.1155/2013/290843290843Rapidly Growing Thyroid Mass in an Immunocompromised Young Male AdultMónica Santiago0José Hernán Martinez1Coromoto Palermo2Carlos Figueroa3Oberto Torres4Rafael Trinidad5Eva Gonzalez6Maria de Lourdes Miranda7Miosotis Garcia8Guillermo Villamarzo9Department of Endocrinology, Metabolism, and Diabetes, San Juan City Hospital, Puerto RicoDepartment of Endocrinology, Metabolism, and Diabetes, San Juan City Hospital, Puerto RicoDepartment of Endocrinology, Metabolism, and Diabetes, San Juan City Hospital, Puerto RicoDepartment of Endocrinology, Metabolism, and Diabetes, San Juan City Hospital, Puerto RicoDepartment of Endocrinology, Metabolism, and Diabetes, San Juan City Hospital, Puerto RicoDepartment of Endocrinology, Metabolism, and Diabetes, San Juan City Hospital, Puerto RicoDepartment of Endocrinology, Metabolism, and Diabetes, San Juan City Hospital, Puerto RicoDepartment of Endocrinology, Metabolism, and Diabetes, San Juan City Hospital, Puerto RicoDepartment of Surgical Pathology and Cytopathology, Hato Rey Pathology Associates Inc., Puerto RicoDepartment of Surgical Pathology and Cytopathology, Hato Rey Pathology Associates Inc., Puerto RicoWe 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.http://dx.doi.org/10.1155/2013/290843
spellingShingle Mónica Santiago
José Hernán Martinez
Coromoto Palermo
Carlos Figueroa
Oberto Torres
Rafael Trinidad
Eva Gonzalez
Maria de Lourdes Miranda
Miosotis Garcia
Guillermo Villamarzo
Rapidly Growing Thyroid Mass in an Immunocompromised Young Male Adult
Case Reports in Endocrinology
title Rapidly Growing Thyroid Mass in an Immunocompromised Young Male Adult
title_full Rapidly Growing Thyroid Mass in an Immunocompromised Young Male Adult
title_fullStr Rapidly Growing Thyroid Mass in an Immunocompromised Young Male Adult
title_full_unstemmed Rapidly Growing Thyroid Mass in an Immunocompromised Young Male Adult
title_short Rapidly Growing Thyroid Mass in an Immunocompromised Young Male Adult
title_sort rapidly growing thyroid mass in an immunocompromised young male adult
url http://dx.doi.org/10.1155/2013/290843
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