{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T08:40:01Z","timestamp":1771490401895,"version":"3.50.1"},"reference-count":19,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,2,3]]},"abstract":"<jats:p>We describe a 38-year-old Indian man who presented with a 2-week history of fever, night sweats and neck swelling who was found to be clinically thyrotoxic with a nodular goitre, tachycardia and high fever. Biochemical investigation revealed hyperthyroidism in association with deranged liver function tests and raised inflammatory markers. Ultrasound and CT scans of the neck revealed multinodular thyroid enlargement. He was considered most likely to have an acute infectious thyroiditis with a differential diagnosis of a toxic multinodular goitre and was started on carbimazole and antibiotics. He underwent fine needle aspiration of the thyroid which revealed necrotic cells and acid-fast bacilli, confirming a diagnosis of primary tuberculosis (TB) of the thyroid gland with no evidence of any other organ involvement on systemic imaging. He was started on TB therapy for 6\u2005months and discharged with outpatient follow-up. Symptoms and biochemical markers subsequently resolved.<\/jats:p>","DOI":"10.1136\/bcr-2013-202792","type":"journal-article","created":{"date-parts":[[2014,2,27]],"date-time":"2014-02-27T06:45:52Z","timestamp":1393483552000},"page":"bcr2013202792","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Primary tuberculosis of the thyroid gland: an unexpected cause of thyrotoxicosis"],"prefix":"10.1136","volume":"2014","author":[{"given":"Lavanya","family":"Raman","sequence":"first","affiliation":[{"name":"Department of Respiratory, King George Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Murray","sequence":"additional","affiliation":[{"name":"Department of Respiratory, King George Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajesh","family":"Banka","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine, King George Hospital, Essex, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,2,27]]},"reference":[{"key":"2025082701014722000_2014.feb27_1.bcr2013202792.1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0028-1085700"},{"key":"2025082701014722000_2014.feb27_1.bcr2013202792.2","doi-asserted-by":"crossref","first-page":"208","DOI":"10.3389\/fmicb.2013.00208","article-title":"Resistance in tuberculosis: what do we know and where can we go?","volume":"4","author":"Green","year":"2013","journal-title":"Front Microbiol"},{"key":"2025082701014722000_2014.feb27_1.bcr2013202792.3","unstructured":"World Health Organisation. 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