Hasan KARSEN, Hayrettin AKDENİZ, REMZİ ERTEN, MAHMUT SÜNNETÇİOĞLU, AYHAN YILDIZ, MEHMET BAYRAKTAR

Thyroid gland abscess due to Brucella melitensis

Brusella, birçok organı tutabilir ve çeşitli komplikasyonlarla seyredebilir. Ancak bruselloza bağlı tiroid bezi enfeksiyonu nadirdir. Bu yazıda brusellaya bağlı tiroid bezi apsesi gelişen bir olgu sunduk. 53 yaşında erkek hasta boyun ön tarafında şişlik ve ağrı ile polikliniğimize başvurdu. Hastanın tiroid hormonları ve anti-tiroid antikorları normal seviyede idi. Hastalığın tanısı, klinik, radyolojik, serolojik ve kültürle konuldu. Cerrahi ve medikal tedaviyle hasta sekelsiz iyileşti.

Brucella melitensis’in neden olduğu tiroid bezi apsesi

Brucella infects many organs with various complications but thyroid gland infection is rare. We present a thyroid gland abscess due to brucellosis. The 53 years male patient was admitted to outpatient clinic with complaints of swelling and pain in the anterior part of the neck. The patient’s thyroid hormones and anti-thyroid antibodies were in normal limits. The cause of thyroid gland abscess was Brucella melitensis. The diagnosis was made based on clinical, radiological, serological and bacterial culture results. The abscess was surgically evacuated and medical treatment was applied. The patient recovered without any sequel.

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1. Young EJ. Serologic diagnosis of human brucellosis: Analysis of 214 cases by agglutinasyon tests and review of the literature. Rev Infect Dis 1991; 13(4): 359-72.
2. Hall WH. Brucellosis. In: Evans AS, Brachman PS. editors. Bacterial infections of humans. Second edition. New York and London: Plenum Publishing corporation, 1991. p. 133-51.
3. Sisirak M, Hukić M, Knezević Z. Evaluation of some diagnostic methods for the brucellosis in humans - a five year study. Prilozi 2010; 31(1):91-101.
4. Mousa AR, al-Mudallal DS, Marafie A. Brucella thyroiditis. J Infect 1989; 19(2): 287-88.
5. Von Graevenitz A, Colla F. Thyroiditis due to brucella melitensis-report of two cases. Infection 1990; 18(2): 179-80.
6.Sırmatel F, Akarsu E. Case report. A brucellosis case with subacute thyroiditis. Mikrobiyol Bult 2002; 38(2): 149-53.
7. Azizi F, Katchoui A. Brucella infection of the thyroid gland. Thyroid 1996; 6(4): 461-63.
8. Gürcan Ş, Mıstık R, Yılmaz E, et al. Thyroid gland involvement in brucellosis: Report of two cases. Turk J Infect 2001; 15(3): 369-71.
9. Van linthoudt D, Roth D, Ott H. Fibromyalgia associated with thyroid adenoma and brucellosis. Presse Med 1990;19(12):1587-9.