[A case of acute mediastinitis after endobronchial needle aspiration].

Abstract

BACKGROUND:

Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) has become widespread, but reports of complications are rare.

CASE:

An enlarged mediastinal lymph node (4R) was detected in a 67-year-old man 33 months after surgery for rectal cancer, and we performed EBUS-TBNA to confirm the diagnosis. He was then admitted to hospital 13 days after the procedure, with cough, a swollen mediastinal fatty area around the 4R lymph node, and elevated WBC and CRP levels. After a diagnosis of acute mediastinitis was confirmed we gave him antibiotics, which improved his symptoms, the mediastinal fatty area and his WBC and CRP levels.

CONCLUSION:

We have to be aware of the possibility of acute mediastinitis after EBUS-TBNA of necrotic lymph nodes.

• Authors: Noriaki Kurimoto, Takuo Shinmyo, Rie Tagay, Kouji Andou, Katsuhiko Morita, Atsushi Mochizuki, Haruhiko Nakamura, Jyunki Koike
• Journal: Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society (Nihon Kokyuki Gakkai Zasshi) Vol. 49 Issue 8 Pg. 588-91 (Aug 2011) ISSN: 1343-3490 [Print] Japan
• PMID: 21894774 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Acute Disease
• Aged
• Biopsy, Needle (adverse effects)
• Bronchoscopy
• Endosonography (methods)
• Humans
• Lymph Nodes (pathology)
• Lymphatic Metastasis (pathology)
• Male
• Mediastinitis (pathology)
• Mediastinum (pathology)