LA TUBERCULOSE THYROIDIENNE

Abstract

Introduction : It is defined by the presence of bacilli Kock (BK) and / or specific histologic lesions within the thyroid parenchyma. The diagnosis should be discussed before excision of a thyroid, because medical treatment may be sufficient in these cases. This location is still rare even in endemic countries and its clinical diagnosis is rarely made. Its frequency varies between 0.1 and 0.4% [1]. Materials and methods : A new case of acute thyroiditis of tuberculous origin associated with nodular goiter is reported by the authors. Surgical treatment was necessary because of the importance of local and general inflammatory signs provocated by this association. Through this case report with literature review we will try to discuss the new diagnostic and therapeutic strategies. Results : Thyroidal tuberculosis is a rare condition whose diagnosis is difficult. Only the bacteriological examination and / or histology confirm bacillary nature of the thyroid. The medical treatment and possibly surgery depend on the anatomical shape. Conclusion : We must emphasize the prevention of tuberculosis through widespread vaccination, the only guarantee of the eradication of this scourge in our country [2].