THYROIDITIS AS THE PRESENTING MANIFESTATION OF DISSEMINATED EXTRAPULMONARY PNEUMOCYSTIS-CARINII INFECTION

被引:27
作者
DRUCKER, DJ
BAILEY, D
ROTSTEIN, L
机构
[1] UNIV TORONTO, TORONTO GEN HOSP, DEPT MED, TORONTO M5G 1L7, ONTARIO, CANADA
[2] UNIV TORONTO, TORONTO GEN HOSP, DEPT CLIN BIOCHEM, TORONTO M5G 1L7, ONTARIO, CANADA
[3] UNIV TORONTO, TORONTO GEN HOSP, DEPT GENET, TORONTO M5G 1L7, ONTARIO, CANADA
[4] UNIV TORONTO, TORONTO GEN HOSP, DEPT PATHOL, TORONTO M5G 1L7, ONTARIO, CANADA
[5] UNIV TORONTO, TORONTO GEN HOSP, DEPT SURG, TORONTO M5G 1L7, ONTARIO, CANADA
关键词
D O I
10.1210/jcem-71-6-1663
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 38-yr-old male with acquired immunodeficiency syndrome developed neck pain in association with mild hyperthyroidism and a diffusely enlarged thyroid gland. Radioactive iodine scanning was consistent with thyroiditis, and biopsy of the thyroid demonstrated the presence of pneumocystis carinii in thyroid tissue. Treatment with pentamidine followed by trimethoprim sulfamethoxazole led to rapid normalization of thyroid size in association with the development of hypothyroidism. This case illustrates the natural history of pneumocystis carinii thyroiditis and suggests that thyroid disease be added to the spectrum of human immunodeficiency virus-associated endocrine dysfunction. © 1990 by The Endocrine Society.
引用
收藏
页码:1663 / 1665
页数:3
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