Primary Thyroid Tuberculosis: A Rare Hypothyroidism Etiology

    February 2025 in “ Revista Eletrônica Acervo Saúde ”
    Elder Andrade Oliveira Filho, Maria Judite Bittencourt Fernandes, Matheus Felipe Ferreira Aguiar, João José Lopes dos Santos Neto, Luísa Alves, Maria Fernanda Couto Caldeira, Gustavo Henrique de Oliveira, Claudiojanes dos Reis, Victor Hugo Dantas Guimarães
    TLDR Thyroid tuberculosis can cause hypothyroidism and should be considered when diagnosing cervical masses.
    This case study highlights a rare instance of primary thyroid tuberculosis associated with hypothyroidism in a 31-year-old female patient who experienced symptoms such as loss of appetite, hair loss, and cervical nodules. Despite initial treatment with levothyroxine sodium, the patient remained symptomatic, leading to a total thyroidectomy. The examination revealed chronic granulomatous thyroiditis, prompting a six-month antitubercular treatment. The study underscores the importance of considering thyroid tuberculosis in the differential diagnosis of cervical masses and the need for biopsy and histopathological examination for accurate diagnosis and timely treatment.
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