Author/Authors :
Kim، Su Ho نويسنده Department of Radiology, Yeouido St. Mary’s Hospital,
College of Medicine, The Catholic University of Korea, Seoul,
Korea , , Kim، Jee Young نويسنده Department of Radiology, Yeouido St. Mary’s Hospital,
College of Medicine, The Catholic University of Korea, Seoul,
Korea , , Park، Woo-Chan نويسنده , , Kim، Mee Kyung نويسنده Department of Internal Medicine, Yeouido St. Mary’s
Hospital, College of Medicine, The Catholic University of Korea,
Seoul, Korea , , Kim، Tae Jung نويسنده Department of Hospital Pathology, Yeouido St. Mary’s
Hospital, College of Medicine, The Catholic University of Korea,
Seoul, Korea ,
Abstract :
A 29-year-old woman with systemic lupus erythematosus (SLE)
presented with palpitation and neck swelling. Initial sonography showed
an ill-defined hypoechoic lesion in the right thyroid gland, mentioning
subacute thyroiditis. The patient received conservative care for one
week. However, her neck swelling worsened and she complained of dyspnea.
Follow up sonography showed marked enlargement of both thyroid glands.
Irregular infiltration of hypoechoic lesions was detected along the
subcapsular region of both thyroid glands. She underwent immediate
intubation to secure the airway and total thyroidectomy.
Histopathological staining revealed features of fungal thyroiditis with
fungal hyphae characteristic of Aspergillus. There was no abnormality in
the lung or paranasal sinuses. In this report, we describe the
sequential sonographic findings of invasive aspergillosis in the thyroid
gland presenting as progressive enlargement without other organ
involvement.
