结节病患者经支气管超声引导下经支气管针吸活检术后纵隔脓肿
Mediastinal Abscess Following Endobronchial Ultrasound Transbronchial Needle Aspiration in a Patient With Sarcoidosis.
作者信息
McGovern Murphy Frederic, Grondin-Beaudoin Brian, Poulin Yannick, Boileau Robert, Dumoulin Elaine
机构信息
*Department of Pulmonology, Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Quebec †Department of Medicine, University of Calgary, Calgary, Alberta, Canada.
出版信息
J Bronchology Interv Pulmonol. 2015 Oct;22(4):370-2. doi: 10.1097/LBR.0000000000000183.
Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is a minimally invasive procedure with a low rate of complications. It is used in the diagnosis of malignant and benign disease such as sarcoidosis. We report a case a 42-year-old man who had undergone EBUS-TBNA for diagnosis of mediastinal and hilar lymph node enlargement. Sarcoidosis was diagnosed on cytologic examination. Three weeks after the procedure, he developed a mediastinal abscess secondary to EBUS-TBNA. Sarcoidosis may be a risk factor for mediastinal infection complication. A local immune defect related to sarcoidosis may explain this risk. Our case underlines the importance of considering and recognizing this complication, and its possibility should be taken into account when undertaking the procedure for benign disease.
支气管内超声引导下经支气管针吸活检术（EBUS-TBNA）是一种并发症发生率低的微创手术。它用于诊断恶性和良性疾病，如结节病。我们报告一例42岁男性，其因诊断纵隔和肺门淋巴结肿大接受了EBUS-TBNA。经细胞学检查诊断为结节病。该操作三周后，他发生了EBUS-TBNA继发的纵隔脓肿。结节病可能是纵隔感染并发症的一个危险因素。与结节病相关的局部免疫缺陷可能解释了这种风险。我们的病例强调了考虑和认识这种并发症的重要性，在对良性疾病进行该操作时应考虑到其可能性。
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