Acute pericarditis and mediastinal lymph node abscess developing after endobronchial ultrasound guided transbronchial needle aspiration

  • Shingo Nishikawa Department of Thoracic Medical Oncology, The Cancer Institute Hospital, Japanese Foundation for Cancer Research
  • Ryo Ariyasu
  • Tomoaki Sonoda
  • Masafumi Saiki
  • Takahiro Yoshizawa
  • Yosuke Dotsu
  • Junji Koyama
  • Ken Uchibori
  • Satoru Kitazono
  • Noriko Yanagitani
  • Atsushi Horiike
  • Fumiyoshi Ohyanagi
  • Makoto Nishio
Keywords: pericarditis, mediastinal lymph node abscess, EBUS-TBNA

Abstract

A 27-year-old man was diagnosed with inflammatory myofibroblastic tumor, and multiple lymph node and subcutaneous metastases. After several administrations of anti-tumor therapy, he underwent mediastinal lymph node biopsy using endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) to confirm tumor relapse. Five weeks later, he complained of chest pain, then rapidly developed shock due to acute pericarditis. Although he was treated with antibiotics for anaerobic bacterial infection and cardiac drainage, mediastinal lymph node abscess and pericarditis did not improve. After the surgical procedure, his physical condition dramatically improved and he was treated with another molecularly targeted therapy. Pericarditis associated with EBUS-TBNA is extremely rare. In this case, salvage was achieved by surgical drainage of the lymph node abscess and pericarditis, and long survival was obtained with further administration of anti-tumor treatment.

Published
2019-04-15
How to Cite
Nishikawa, S., Ariyasu, R., Sonoda, T., Saiki, M., Yoshizawa, T., Dotsu, Y., Koyama, J., Uchibori, K., Kitazono, S., Yanagitani, N., Horiike, A., Ohyanagi, F., & Nishio, M. (2019). Acute pericarditis and mediastinal lymph node abscess developing after endobronchial ultrasound guided transbronchial needle aspiration. Journal of Case Reports in Medicine, 8(2). https://doi.org/10.25149/jcrm.v8i2.196
Section
Articles