Original communication| Volume 17, ISSUE 4, P552-559, April 1945

Tuberculous abscess of the thyroid gland

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      A case of tuberculous abscess of the thyroid gland is reported, together with a brief outline of sixteen cases selected from the literature. Tuberculous abscess of the thyroid was equally distributed between males and females and the ages varied from 7 to 74 years. Three patients had definite goiters, of which one presented toxic symptoms. The clinical picture of tuberculous abscess was that of a cystic swelling of the thyroid gland of several months' duration, which on incision was found to contain thick pus, positive for acid-fast bacilli on smear, culture, or guinea pig inoculation. The tissue removed showed tuberculous granulation. There was delayed healing of the wound in the majority of cases. In no patient was postoperative myxedema demonstrated. A focus of tuberculous infection outside the thyroid gland was demonstrated in nine patients. Two patients died of miliary tuberculosis, while the others made uneventful recoveries.
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