Published online Dec 6, 2021. doi: 10.12998/wjcc.v9.i34.10723
Peer-review started: June 28, 2021
First decision: July 26, 2021
Revised: July 29, 2021
Accepted: October 8, 2021
Article in press: October 8, 2021
Published online: December 6, 2021
Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is a safe and minimally invasive diagnostic tool for mediastinal and hilum evaluation. However, infectious complications may occur after EBUS-TBNA. Among these, mediastinitis and pericarditis are rare.
A 67-year-old woman was referred to our hospital due to paratracheal lymph node enlargement on chest computed tomography (CT). EBUS-TBNA was performed on the lymph node lesions, and prophylactic oral antibiotics were administered. Seven days after EBUS-TBNA, the patient visited the emergency room with a high fever and chest pain. Laboratory test results revealed leuko
Mediastinitis and pericarditis after EBUS-TBNA are rare but should be considered even after the use of prophylactic antibiotics.
Core Tip: Acute mediastinitis and pericarditis are rare complications of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA). This case presented with acute mediastinitis and pericarditis that developed despite prophylactic antibiotic use after EBUS-TBNA and improved after antibiotic and surgical mana