Surgical treatment for mediastinitis after endobronchial ultrasound-guided transbronchial needle aspiration: 2 case reports.

Autor: Han, Sung Joon, Chong, Yooyoung, Shim, Man-shik, Han, Woosik, Cho, Hyun Jin, Kang, Shin Kwang, Yu, Jae Hyeon
Zdroj: International Journal of Surgery Case Reports; 2020, Vol. 77, p624-627, 4p
Abstrakt: • Mediastinitis by endobronchial ultrasound-guided transbronchial needle aspiration. • EBUS-related mediastinitis is treated effectively by surgical drainage. • Combination of surgery and medical treatment can be very effective in the treatment of inflammation caused by EBUS. We report two cases of severe mediastinitis accompanied by abscess due to endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA), that were successfully treated by effective surgical drainage. A 68-year-old woman was referred to our hospital due to chest discomfort and high fever after EBUS-TBNA, and a 54-year-old man was referred due to general weakness, chills, and high fever after the same procedure. Both were diagnosed with EBUS-related mediastinitis and discharged after surgical treatment. Similar to previous reports, the importance of surgical procedures for mediastinitis caused by EBUS-TBNA was suggested. Further research and establishment of guidelines on this matter is necessary. [ABSTRACT FROM AUTHOR]
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