Transbronchial Needle Aspiration Cytology and Purulent Pericarditis. J Investig Med High Impact Case Rep 2020;8:2324709620951345
Date
08/26/2020Pubmed ID
32840131Pubmed Central ID
PMC7450287DOI
10.1177/2324709620951345Scopus ID
2-s2.0-85089846917 (requires institutional sign-in at Scopus site) 7 CitationsAbstract
Endobronchial ultrasound with transbronchial needle aspiration (TBNA) is commonly performed for the evaluation of mediastinal lymphadenopathy. Purulent pericarditis is a rare, yet potentially fatal complication of TBNA. It commonly presents with nonspecific symptoms such as chest pain, shortness of breath, palpitations, or vague abdominal discomfort. Additionally, more severe symptoms such as cardiac tamponade and even death have been reported. In this article, we present the case of a 58-year-old male who developed purulent pericardial effusion with tamponade thought to be caused by TBNA cytology. This case raises an important question regarding the current guidelines for prophylactic antibiotic treatment for patients at high risk of developing purulent pericarditis as a complication of TBNA.
Author List
Vallabhaneni S, Kichloo A, Rawan A, Aljadah M, Albosta M, Singh J, Cutitta CAuthor
Michael M. Aljadah MD Instructor in the Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Cardiac TamponadeEchocardiography
Endoscopic Ultrasound-Guided Fine Needle Aspiration
Humans
Lymphadenopathy
Male
Mediastinal Diseases
Middle Aged
Pericarditis
Streptococcus anginosus
Tomography, X-Ray Computed
