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Risks and benefits in treatment of mediastinal abscess by endobronchial ultrasound-guided transbronchial needle aspiration. | LitMetric

Risks and benefits in treatment of mediastinal abscess by endobronchial ultrasound-guided transbronchial needle aspiration.

Clin Respir J

Departments of Endoscopy and Pulmonary Medicine, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai, China.

Published: July 2017

AI Article Synopsis

  • - Mediastinal abscess can be dangerous and is usually treated with antibiotics or surgery; EBUS-TBNA offers a minimally invasive method for assessing and treating these abscesses.
  • - A case study followed a 56-year-old man who developed pneumonia and sepsis after EBUS-TBNA but was successfully treated with a combination of systemic antibiotics and repeated interventions via the procedure.
  • - The findings highlight the infection risk associated with EBUS-TBNA while demonstrating its effectiveness in treating mediastinal abscesses, emphasizing the need for awareness of potential complications.

Article Abstract

Introduction: 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.

Download full-text PDF

Source
http://dx.doi.org/10.1111/crj.12357DOI Listing

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