Open AccessRisks and benefits in treatment of mediastinal abscess by endobronchial ultrasound‐guided transbronchial needle aspiration
Author(s) -
Tian Lei,
Krimsky William S.,
Wu Qingchen,
Sun Jiayuan
Publication year - 2017
Publication title -
the clinical respiratory journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.789
H-Index - 33
eISSN - 1752-699X
pISSN - 1752-6981
DOI - 10.1111/crj.12357
Subject(s) - medicine , abscess , radiology , mediastinal diseases , surgery , mediastinum , pneumonia
: Mediastinal abscess is a fatal condition, treatment of mediastinal abscess is with antibiotics and sometimes surgery for debridement and drainage. Endobronchial ultrasound‐guided transbronchial needle aspiration (EBUS‐TBNA) is a safe assessment and candidate treatment method of mediastinal lesions. Objectives : This study aimed to HYPERLINK “javascript:void(0);” discuss risks and benefits in treatment of mediastinal abscess by EBUS‐TBNA. Methods : We noticed a 56‐year‐old man with developed bilateral pneumonia and sepsis after puncture of mediastinal abscess by EBUS‐TBNA. The patient was successfully treated with a combination of systemic anti‐infection treatment and intracavitary administration of antibiotics, antifungal and repeated drainage and lavage via EBUS‐TBNA, in 1 year follow‐up without recurrence. Results : This study indicated infection spread risk of mediastinal abscess after EBUS‐TBNA, and mediastinal abscess was successfully cured by combination of systemic anti‐infection and local intervention through EBUS‐TBNA. Conclusion : EBUS‐TBNA is a potential effective minimally invasive treatment for mediastinal abscess, and it is necessary to be aware of clinical complications after puncture of mediastinal infectious lesions by EBUS‐TBNA.