Diffuse infiltration of Aspergillus hyphae in the thyroid gland with multinodular goiter

• Published in: Indian journal of pathology & microbiology Vol. 54; no. 4; pp. 814 - 816
• Main Authors: Erdem, Havva, Uzunlar, Ali Kemal, Yildirim, Umran, Yildirim, Mustafa, Geyik, M Faruk
• Format: Journal Article
• Language: English
• Published: India Medknow Publications and Media Pvt. Ltd 01.10.2011; Wolters Kluwer Medknow Publications
• Subjects: Adult; Antifungal agents; Aspergillosis; Aspergillosis - diagnosis; Aspergillosis - microbiology; Aspergillosis - pathology; Aspergillus; Aspergillus - cytology; Aspergillus - isolation & purification; Care and treatment; Case studies; Diagnosis; Female; Goiter; Goiter - complications; Goiter - pathology; Goiter - surgery; Health aspects; Histocytochemistry; Humans; Hyphae - cytology; immunocompetence; Microscopy; Spores, Fungal - cytology; thyroid gland; Thyroid Gland - microbiology; Thyroid Gland - pathology; Thyroid Gland - surgery; India
• ISSN: 0377-4929; 0974-5130
• DOI: 10.4103/0377-4929.91530

A 35-year-old woman presented with a thyroid mass, weakness and shortness of breath of 3 years duration. On physical examination, she had a diffusely enlarged thyroid gland with multiple nodules. There were no signs to suggest immune suppression. The patient farmed and raised livestock. Biochemical tests and hemogram were normal. She underwent surgery, and a histological examination of the surgical specimen revealed nodular hyperplasia. Microscopically, silver methenamine (PASM) stain-positive hyphae that divided into branches at 45° and conidia were detected beside the thyroid capsule, with conidia in the cystic nodule. Moreover, ischemic changes of the thyroid tissue were observed closer to the capsule. We report a case of Aspergillosis of the thyroid of a patient who underwent surgery for a multinodular goiter.