Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Chhabria, Bharath A, Agarwal, Ritesh, Garg, Mandeep, Gupta, Nalini, Bal, Amanjit, Dhooria, Sahajal, Sehgal, Inderpaul Singh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
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
_version_ 1783352247805018112
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
work_keys_str_mv AT chhabriabharatha ararecauseofairwayobstructionmediastinalcystsecondarilyinfectedwithmycobacteriumtuberculosis
AT agarwalritesh ararecauseofairwayobstructionmediastinalcystsecondarilyinfectedwithmycobacteriumtuberculosis
AT gargmandeep ararecauseofairwayobstructionmediastinalcystsecondarilyinfectedwithmycobacteriumtuberculosis
AT guptanalini ararecauseofairwayobstructionmediastinalcystsecondarilyinfectedwithmycobacteriumtuberculosis
AT balamanjit ararecauseofairwayobstructionmediastinalcystsecondarilyinfectedwithmycobacteriumtuberculosis
AT dhooriasahajal ararecauseofairwayobstructionmediastinalcystsecondarilyinfectedwithmycobacteriumtuberculosis
AT sehgalinderpaulsingh ararecauseofairwayobstructionmediastinalcystsecondarilyinfectedwithmycobacteriumtuberculosis
AT chhabriabharatha rarecauseofairwayobstructionmediastinalcystsecondarilyinfectedwithmycobacteriumtuberculosis
AT agarwalritesh rarecauseofairwayobstructionmediastinalcystsecondarilyinfectedwithmycobacteriumtuberculosis
AT gargmandeep rarecauseofairwayobstructionmediastinalcystsecondarilyinfectedwithmycobacteriumtuberculosis
AT guptanalini rarecauseofairwayobstructionmediastinalcystsecondarilyinfectedwithmycobacteriumtuberculosis
AT balamanjit rarecauseofairwayobstructionmediastinalcystsecondarilyinfectedwithmycobacteriumtuberculosis
AT dhooriasahajal rarecauseofairwayobstructionmediastinalcystsecondarilyinfectedwithmycobacteriumtuberculosis
AT sehgalinderpaulsingh rarecauseofairwayobstructionmediastinalcystsecondarilyinfectedwithmycobacteriumtuberculosis