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

Sho Shimada; Haruhiko Furusawa; Toshihisa Ishikawa; Eisaku Kamakura; Takafumi Suzuki; Yuta Watanabe; Takasato Fujiwara; Shinichiro Tominaga; Keiko Mitaka Komatsuzaki; Ichiro Natsume

Respiratory Medicine Case Reports (Jan 2018)

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

Sho Shimada,
Haruhiko Furusawa,
Toshihisa Ishikawa,
Eisaku Kamakura,
Takafumi Suzuki,
Yuta Watanabe,
Takasato Fujiwara,
Shinichiro Tominaga,
Keiko Mitaka Komatsuzaki,
Ichiro Natsume

Affiliations

Sho Shimada: Department of Respiratory Internal Medicine, Yokosuka Kyosai Hospital, 1−16 Yonegahama dori, Yokosuka, Kanagawa, 238-8558, Japan; Department of Integrated Pulmonology, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan; Corresponding author. Department of Respiratory Internal Medicine, Yokosuka Kyosai Hospital, 1−16 Yonegahama dori, Yokosuka, Kanagawa, 238-8558, Japan.
Haruhiko Furusawa: Department of Integrated Pulmonology, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan
Toshihisa Ishikawa: Department of Respiratory Internal Medicine, Yokosuka Kyosai Hospital, 1−16 Yonegahama dori, Yokosuka, Kanagawa, 238-8558, Japan
Eisaku Kamakura: Department of Respiratory Internal Medicine, Yokosuka Kyosai Hospital, 1−16 Yonegahama dori, Yokosuka, Kanagawa, 238-8558, Japan
Takafumi Suzuki: Department of Integrated Pulmonology, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan
Yuta Watanabe: Department of Respiratory Internal Medicine, Yokosuka Kyosai Hospital, 1−16 Yonegahama dori, Yokosuka, Kanagawa, 238-8558, Japan
Takasato Fujiwara: Department of Respiratory Internal Medicine, Yokosuka Kyosai Hospital, 1−16 Yonegahama dori, Yokosuka, Kanagawa, 238-8558, Japan
Shinichiro Tominaga: Department of Respiratory Internal Medicine, Yokosuka Kyosai Hospital, 1−16 Yonegahama dori, Yokosuka, Kanagawa, 238-8558, Japan
Keiko Mitaka Komatsuzaki: Department of Respiratory Internal Medicine, Yokosuka Kyosai Hospital, 1−16 Yonegahama dori, Yokosuka, Kanagawa, 238-8558, Japan
Ichiro Natsume: Department of Respiratory Internal Medicine, Yokosuka Kyosai Hospital, 1−16 Yonegahama dori, Yokosuka, Kanagawa, 238-8558, Japan

Journal volume & issue: Vol. 25
pp. 161 – 164

Abstract

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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. Keywords: Mediastinal adenitis, Endobronchial ultrasound-guided transbronchial needle aspiration, Infectious complication, Sarcoidosis

Published in Respiratory Medicine Case Reports

ISSN: 2213-0071 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the respiratory system
Website: http://www.journals.elsevier.com/respiratory-medicine-case-reports/

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