To be or not TB.
A 20-year-old Somali woman presented with a tender, enlarging neck mass in the setting of weight loss and tachycardia. This was initially thought to be a thyroid storm. On further investigation, she had suppurative thyroiditis from Mycobacterium tuberculosis. This case illustrates a high prevalence of extrapulmonary tuberculosis (TB) in foreign-born individuals and the necessity to consider TB in the differential diagnosis of an enlarging neck mass.
Tom
Andrea
A
Department of Endocrinology, Mayo Clinic College of Medicine, Rochester, Minnesota 55902, USA.
Dean
Diana
D
Wilson
John
J
D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D009169:Mycobacterium tuberculosis / Q000472:pathogenicity; D013958:Thyroid Crisis / Q000175:diagnosis*; D013961:Thyroid Gland / Q000000981:diagnostic imaging / Q000382:microbiology / Q000473:pathology; D013969:Thyroiditis, Suppurative / Q000175:diagnosis* / Q000382:microbiology; D014376:Tuberculosis / Q000175:diagnosis* / Q000382:microbiology; D014463:Ultrasonography