Primary Tubercular Granulomatous Thyroiditis, Presenting as Thyroid Nodule with Hyperthyroidism, Pyrexia of Unknown Origin and Severe Anemia

摘要

Tuberculosis of Thyroid gland is a rare entity even in countries with highprevalence of tuberculosis. The patients present with a broad spectrum ofmanifestations ranging from an isolated painful nodule to frank hyperthyroidism.We report an interesting case of primary tubercular granulomatous thyroiditis,presenting as a thyroid nodule with pyrexia of unknown origin, hyperthyroidismand severe anaemia which responded to anti tubercular and anti-inflammatorytreatment with complete recovery, as evidenced by blood reports and CT scanreports. Thus, proper diagnosis may avoid unnecessary surgical interventions,that were a trend in the past.