Mediastinal cyst infection followed by bacteremia due to Streptococcus anginosus after endobronchial ultrasound-guided transbronchial needle aspiration
| Autor: | Masaru Ando, Jun-ichi Kadota, Erina Watanabe, Takehiko Hashimoto |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty lcsh:Diseases of the circulatory (Cardiovascular) system Case Report Bacteremia 03 medical and health sciences 0302 clinical medicine Bronchoscopy endobronchial ultrasound-guided transbronchial needle aspiration medicine 030212 general & internal medicine Endobronchial ultrasound Lymph node lcsh:RC705-779 medicine.diagnostic_test business.industry lcsh:Diseases of the respiratory system medicine.disease Discontinuation medicine.anatomical_structure 030228 respiratory system lcsh:RC666-701 Streptococcus anginosus Surgery Sarcoidosis Radiology Cardiology and Cardiovascular Medicine business Mediastinal Cyst Mediastinal cyst infection |
| Zdroj: | Annals of Thoracic Medicine Annals of Thoracic Medicine, Vol 15, Iss 2, Pp 95-97 (2020) |
| ISSN: | 1998-3557 1817-1737 |
| Popis: | We herein report a case of recurrent mediastinal cyst infection followed by bacteremia after endobronchial ultrasound-guide transbronchial needle aspiration (EBUS-TBNA). A 65-year-old Japanese male with sarcoidosis presented with 4 L progressive lymph node adenopathy and was diagnosed with mediastinal cyst by EBUS-TBNA. After bronchoscopy, he suffered from a high fever. Chest computed tomography showed enlargement of the 4 L lymph node with low attenuation areas, the elevation of mediastinal fat concentration. Blood cultures were positive for Streptococcus anginosus. Antimicrobial agents were administered for a total of 12 weeks, at which point the size of the lymph node was reduced. However, at 5 months after the discontinuation of antimicrobial agents, the mediastinal cyst infection recurred. It is important to conduct careful follow-up because mediastinal cyst infection following ebus-tbna may relapse with conservative treatment without invasive surgery. |
| Databáze: | OpenAIRE |
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