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

Publication date: Available online 25 August 2018Source: Respiratory Medicine Case ReportsAuthor(s): Sho Shimada, Haruhiko Furusawa, Toshihisa Ishikawa, Eisaku Kamakura, Takafumi Suzuki, Yuta Watanabe, Takasato Fujiwara, Shinichiro Tominaga, Keiko Mitaka Komatsuzaki, Ichiro NatsumeAbstractA 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.
Source: Respiratory Medicine Case Reports - Category: Respiratory Medicine Source Type: research