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A rare cause of airway obstruction: Mediastinal cyst secondarily infected with Mycobacterium tuberculosis
Mediastinal cysts are mostly congenital, but rarely, infections and malignancies can cause cystic degeneration of enlarged mediastinal lymph nodes. Diagnosis is challenging as the presenting symptoms are nonspecific. Surgical resection is the reference modality both for diagnosis and management. Sec...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6120315/ https://www.ncbi.nlm.nih.gov/pubmed/30168463 http://dx.doi.org/10.4103/lungindia.lungindia_445_17 |
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author | Chhabria, Bharath A Agarwal, Ritesh Garg, Mandeep Gupta, Nalini Bal, Amanjit Dhooria, Sahajal Sehgal, Inderpaul Singh |
author_facet | Chhabria, Bharath A Agarwal, Ritesh Garg, Mandeep Gupta, Nalini Bal, Amanjit Dhooria, Sahajal Sehgal, Inderpaul Singh |
author_sort | Chhabria, Bharath A |
collection | PubMed |
description | Mediastinal cysts are mostly congenital, but rarely, infections and malignancies can cause cystic degeneration of enlarged mediastinal lymph nodes. Diagnosis is challenging as the presenting symptoms are nonspecific. Surgical resection is the reference modality both for diagnosis and management. Secondary infection of mediastinal bronchogenic cyst with Mycobacterium tuberculosis is rare. Herein, we describe a young male who was managed as bronchial asthma with inhalational bronchodilators and glucocorticoids. Computed tomography revealed a cystic lesion in the subcarinal region. Endobronchial ultrasound-guided transbronchial needle aspiration was done to perform diagnostic and therapeutic aspiration of the cyst that showed infection with M. tuberculosis. A subsequent surgical resection confirmed the cystic lesion to be a bronchogenic cyst. |
format | Online Article Text |
id | pubmed-6120315 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-61203152018-09-07 A rare cause of airway obstruction: Mediastinal cyst secondarily infected with Mycobacterium tuberculosis Chhabria, Bharath A Agarwal, Ritesh Garg, Mandeep Gupta, Nalini Bal, Amanjit Dhooria, Sahajal Sehgal, Inderpaul Singh Lung India Case Report Mediastinal cysts are mostly congenital, but rarely, infections and malignancies can cause cystic degeneration of enlarged mediastinal lymph nodes. Diagnosis is challenging as the presenting symptoms are nonspecific. Surgical resection is the reference modality both for diagnosis and management. Secondary infection of mediastinal bronchogenic cyst with Mycobacterium tuberculosis is rare. Herein, we describe a young male who was managed as bronchial asthma with inhalational bronchodilators and glucocorticoids. Computed tomography revealed a cystic lesion in the subcarinal region. Endobronchial ultrasound-guided transbronchial needle aspiration was done to perform diagnostic and therapeutic aspiration of the cyst that showed infection with M. tuberculosis. A subsequent surgical resection confirmed the cystic lesion to be a bronchogenic cyst. Medknow Publications & Media Pvt Ltd 2018 /pmc/articles/PMC6120315/ /pubmed/30168463 http://dx.doi.org/10.4103/lungindia.lungindia_445_17 Text en Copyright: © 2018 Indian Chest Society http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Chhabria, Bharath A Agarwal, Ritesh Garg, Mandeep Gupta, Nalini Bal, Amanjit Dhooria, Sahajal Sehgal, Inderpaul Singh A rare cause of airway obstruction: Mediastinal cyst secondarily infected with Mycobacterium tuberculosis |
title | A rare cause of airway obstruction: Mediastinal cyst secondarily infected with Mycobacterium tuberculosis |
title_full | A rare cause of airway obstruction: Mediastinal cyst secondarily infected with Mycobacterium tuberculosis |
title_fullStr | A rare cause of airway obstruction: Mediastinal cyst secondarily infected with Mycobacterium tuberculosis |
title_full_unstemmed | A rare cause of airway obstruction: Mediastinal cyst secondarily infected with Mycobacterium tuberculosis |
title_short | A rare cause of airway obstruction: Mediastinal cyst secondarily infected with Mycobacterium tuberculosis |
title_sort | rare cause of airway obstruction: mediastinal cyst secondarily infected with mycobacterium tuberculosis |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6120315/ https://www.ncbi.nlm.nih.gov/pubmed/30168463 http://dx.doi.org/10.4103/lungindia.lungindia_445_17 |
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