Development of mediastinal adenitis six weeks after endobronchial ultrasound-guided transbronchial needle aspiration

A 60-year-old man visited our hospital for further examination of an abnormal chest radiograph. Computed tomography (CT) images revealed enlarged mediastinal lymph nodes and multiple pulmonary nodules. Further evaluation by endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA)...

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Detalles Bibliográficos
Autores principales: Shimada, Sho, Furusawa, Haruhiko, Ishikawa, Toshihisa, Kamakura, Eisaku, Suzuki, Takafumi, Watanabe, Yuta, Fujiwara, Takasato, Tominaga, Shinichiro, Komatsuzaki, Keiko Mitaka, Natsume, Ichiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6115609/
https://www.ncbi.nlm.nih.gov/pubmed/30175038
http://dx.doi.org/10.1016/j.rmcr.2018.08.015
Descripción
Sumario:A 60-year-old man visited our hospital for further examination of an abnormal chest radiograph. Computed tomography (CT) images revealed enlarged mediastinal lymph nodes and multiple pulmonary nodules. Further evaluation by endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) was performed and he was diagnosed with sarcoidosis. Six weeks after EBUS-TBNA, he presented to the emergency department with a high-grade fever. CT scan revealed an enlarged mediastinal lymph node. He was diagnosed with mediastinal adenitis and treated successfully with antibiotics. EBUS-TBNA is a highly accurate diagnostic tool, but clinicians should be aware of mediastinal infectious complication that could be asymptomatic for long period of time.

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