Thyroid gland involvement in brucellosis: Report of two cases

Şaban GÜRCAN, Reşit MISTIK, Okan YÜCE, H. Barbaros ORAL, Okan TÖRE, Emel YILMAZ

Özet

Bu yazıda, tiroit bezi tutulumuyla seyreden iki bruselloz olgusu sunulmuştur. Tiroidit tanısı tiroit bezindeki lokal bulgular, ultrason ve sintigrafiyle; bruselloz tanısı ise ilk olguda serolojik testlerle, ikinci olguda pozitif kan kültürü ve her ikisinde de sitopatolojik incelemeyle kondu. Ateşin normale inmesi ikili kombinasyon (streptomisin ve doksisiklin) verilen ilk olguya göre üçlü kombinasyon (ek olarak kotrimoksazol) verilen ikinci olguda daha erken (14 güne karşılık 7 gün) oldu.

Abstract

Two cases of brucellosis with thyroid gland involvement are presented in this report. Diagnosis of thyroiditis was established by local findings on thyroid glands, ultrasound and radioctive iodine uptake. Brucellosis was diagnosed according to serological tests in the first case, positive blood culture and cytopathological examination in the second one. Fever response developed earlier (14 versus 7 days) in the second case who was treated with a combination of three antibiotics (streptomycine, doxcycline and co-trimoxazole) when compared to the first case (streptomycine, doxycycline).