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NDT Advance Access originally published online on September 25, 2006
Nephrology Dialysis Transplantation 2007 22(2):641-644; doi:10.1093/ndt/gfl551
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© The Author [2006]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Disseminated zygomycosis presenting as thyroid abscess in a renal allograft recipient

Uma Nahar Saikia1, Deepali Jain1, Kusum Joshi1, Anupam Lal2 and Vinay Sakhuja3

1Department of Histopathology, 2Department of Radio Diagnosis and 3Department of Nephrology, Postgraduate Institute of Medical Education and Research, Chandigarh, India

Correspondence and offprint requests to: Dr Uma Nahar Saikia, Department of Histopathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India. Email: umasaikia@gmail.com

Keywords: renal transplant; thyroid abscess; zygomycosis

The first 150 words of the full text of this article appear below.



   Introduction
 
In the current medical environment, thyroid abscess is a clinical entity that is seldom encountered; however, it was a common condition in the era before antibiotics [1,2]. Review of the published causes of thyroid abscess since 1980 demonstrated that although Gram-positive bacteria (Staphylococcus and Streptococcus species) remain the most common causes, there have been a number of cases in the literature, caused by mycobacteria, Salmonella species and anaerobes [2]. Fungal thyroid infections are very rare and described in immunosuppressed patients. Immunocompromised patients, such as those with leukaemia, lymphoma, autoimmune diseases and organ-transplant patients on pharmacological immunosuppression, are particularly at risk. Aspergillus is by far the most common cause of fungal thyroiditis [3]. However, zygomycotic thyroiditis is rarely reported in the literature. To the best of our knowledge, there are only four reports in the literature, of disseminated zygomycosis in which thyroid . . . [Full Text of this Article]



   Case
 
Autopsy findings


   Discussion
 

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