title: Aspergillus thyroiditis in a renal transplant recipient mimicking subacute thyroiditis.
abstract: Fungal pathogens are increasingly encountered after renal transplantation. Aspergillus causes significant morbidity and mortality in transplant patients. Fungal thyroiditis is a rare occurrence owing to unique features of the thyroid gland. Most cases are caused by Aspergillus species and have been described in immunocompromised patients. Presentation may be identical with that of subacute thyroiditis, in which hyperthyroidism features and painful thyroid are the prominent findings. Diagnosis can be ascertained by fine-needle aspiration of thyroid showing branching hyphae of Aspergillus. We describe a renal transplant patient who developed Aspergillus thyroiditis as part of a disseminated infection successfully treated with voriconazole.
authors.affiliation: Department of Nephrology, Selcuk University, Meram School of Medicine, Meram, Konya, Turkey. yalcinsolakmd@gmail.com
authors.forename: Y
authors.initials: Y
authors.lastname: Solak
authors.forename: H
authors.initials: H
authors.lastname: Atalay
authors.forename: A
authors.initials: A
authors.lastname: Nar
authors.forename: O
authors.initials: O
authors.lastname: Ozbek
authors.forename: K
authors.initials: K
authors.lastname: Turkmen
authors.forename: S
authors.initials: S
authors.lastname: Erekul
authors.forename: S
authors.initials: S
authors.lastname: Turk
mesh_terms: D000935:Antifungal Agents / Q000008:administration & dosage / Q000627:therapeutic use; D001228:Aspergillosis / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D000077336:Caspofungin; D054714:Echinocandins / Q000008:administration & dosage / Q000627:therapeutic use; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D055666:Lipopeptides; D011743:Pyrimidines / Q000008:administration & dosage / Q000627:therapeutic use; D013961:Thyroid Gland / Q000382:microbiology; D013966:Thyroiditis / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology; D014230:Triazoles / Q000008:administration & dosage / Q000627:therapeutic use; D065819:Voriconazole
chemical_list: D000935:Antifungal Agents; D054714:Echinocandins; D055666:Lipopeptides; D011743:Pyrimidines; D014230:Triazoles; D000077336:Caspofungin; D065819:Voriconazole