Author/Authors :
Kiran Annavarajula, Sashi Department of Nephrology - Yashoda Hospital, Malakpet, Nalgonda X-roads, Hyderabad, India , Saroj Kumar Prusty, B Department of Critical Care - Yashoda Hospital, Malakpet, Nalgonda X-roads, Hyderabad, India , Abdul Basit Momin, Majed Department of Laboratory Medicine - Yashoda Hospital, Malakpet, Nalgonda X-roads, Hyderabad, India , Kumar Borad, Dharmendra Consultant Radiologist - Yashoda Hospital, Malakpet, Nalgonda X-roads, Hyderabad, India
Abstract :
Fungal granulomatous thyroiditis is a relatively rare entity. Aspergillus is the fungus that most
commonly affects the thyroid gland and is generally missed until autopsy. Aspergillus granulomatous
thyroiditis diagnosed antemortem and treated in renal transplant recipients is extremely rare. We
report a 35-year-old female renal transplant recipient who presented with fever, generalized
weakness, and loss of appetite; her clinical examination revealed a left thyroid lobe nodule. Fine
needle aspiration cytology (FNAC) microscopic examination of the nodule revealed fungal
granulomatous thyroiditis. Subsequent examination of FNAC material with special stain Gomori`s
Methenamine Silver (GMS), 10% KOH (potassium hydroxide) mounting, and culture confirmed the
presence of fungus Aspergillus flavus. This case emphasizes the need for thorough clinical
examination and the utility of FNAC in examining thyroid nodules. J Microbiol Infect Dis 2021;
11(4):233-237.
