subphrenic or pilonidal abscess, and malignancy in the vicinity of the thyroid gland. The presence of previous diseased areas of the thyroid, such as goiter or adenomata, which are especially prevalent in females, is a predisposing factor to infection [8,15]. In recent series of ST approximately a quarter of the patients were immunocompromised; half of these had HIV [4,6]. The majority of fungal infections are found in diabetic and immunocompromised individuals (mostly HIV and leukemia).