EBUS-TBNA-related complications in a patient with tuberculous lymphadenopathy

Intern Med. 2013;52(22):2553-9. doi: 10.2169/internalmedicine.52.9273.

Abstract

Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is becoming more common for diagnosing intrathoracic lymphadenopathy, including tuberculous lymphadenopathy. We herein report two cases of complications possibly related to EBUS-TBNA for tuberculous lymphadenopathy. The first patient was a 26-year-old woman who developed intrabronchial polypoid granulomas exclusively at puncture sites two months after undergoing EBUS-TBNA. Although endobronchial extension may occur, the risk of aggravation caused by puncture should be considered. The second patient was a 39-year-old woman with transient smear-positive bloody sputum that developed immediately after EBUS-TBNA and persisted for three days. Temporary isolation following EBUS-TBNA should be considered for possible tuberculous lymphadenopathy.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Bronchial Diseases / etiology
  • Bronchial Diseases / microbiology
  • Bronchoscopy / adverse effects
  • Endoscopic Ultrasound-Guided Fine Needle Aspiration / adverse effects*
  • Female
  • Granuloma, Respiratory Tract / etiology
  • Granuloma, Respiratory Tract / microbiology
  • Humans
  • Tuberculosis / etiology
  • Tuberculosis / microbiology
  • Tuberculosis, Lymph Node / diagnosis*
  • Tuberculosis, Lymph Node / diagnostic imaging