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Infectious mediastinal lymphadenopathy after repeated transbronchial needle aspiration. | LitMetric

AI Article Synopsis

  • A 70-year-old man was diagnosed with squamous cell carcinoma after tests on his lymph nodes.
  • After starting treatment, he developed chest pain and a high fever, but initial CT scans only showed swollen lymph nodes.
  • Doctors treated him with antibiotics, leading to a decrease in fever and a diagnosis of infectious lymphadenopathy, which can be hard to identify due to vague symptoms and limited CT imaging effectiveness.

Article Abstract

A man in his 70s was diagnosed with squamous cell carcinoma (cT1aN2M0) by repeated transbronchial needle aspirations (one conventional and one using endobronchial ultrasonography) of the subcarinal lymph node. Shortly after the initiation of chemoradiotherapy, he began to have chest pain with a high fever. CT showed only subcarinal lymph node swelling. Treatment with several antibiotics was started, and his fever decreased gradually. Chest CT showed shrinking of the subcarinal lymph node, and a diagnosis of infectious lymphadenopathy was made. Infectious lymphadenopathy can be difficult to diagnose because the symptoms are often non-specific and CT findings are not useful in differentiating tumour growth.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3669807PMC
http://dx.doi.org/10.1136/bcr-2012-007998DOI Listing

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