Endotracheal Tuberculous Granuloma Formation Following Endobronchial Ultrasound Transbronchial Needle Aspiration

Jeong-Won Lee; Woo-Jin Kim; Chan-Woo Park; Hyun-Wook Kang; Hee-Jung Ban; In-Jae Oh; Yong-Soo Kwon; Kyu-Sik Kim; Yu-Il Kim; Sung-Chul Lim; Young-Chul Kim; Yoo-Duk Choi

doi:10.2169/internalmedicine.52.9360

CASE REPORTS

Endotracheal Tuberculous Granuloma Formation Following Endobronchial Ultrasound Transbronchial Needle Aspiration

Jeong-Won Lee, Woo-Jin Kim, Chan-Woo Park, Hyun-Wook Kang, Hee-Jung Ban, In-Jae Oh, Yong-Soo Kwon, Kyu-Sik Kim, Yu-Il Kim, Sung-Chul Lim, Young-Chul Kim, Yoo-Duk Choi

Author information

Jeong-Won Lee
Department of Internal Medicine, Chonnam National University Medical School, Korea
Woo-Jin Kim
Department of Internal Medicine, Chonnam National University Medical School, Korea
Chan-Woo Park
Department of Internal Medicine, Chonnam National University Medical School, Korea
Hyun-Wook Kang
Department of Internal Medicine, Chonnam National University Medical School, Korea
Hee-Jung Ban
Department of Internal Medicine, Chonnam National University Medical School, Korea
In-Jae Oh
Department of Internal Medicine, Chonnam National University Medical School, Korea
Yong-Soo Kwon
Department of Internal Medicine, Chonnam National University Medical School, Korea
Kyu-Sik Kim
Department of Internal Medicine, Chonnam National University Medical School, Korea
Yu-Il Kim
Department of Internal Medicine, Chonnam National University Medical School, Korea
Sung-Chul Lim
Department of Internal Medicine, Chonnam National University Medical School, Korea
Young-Chul Kim
Department of Internal Medicine, Chonnam National University Medical School, Korea
Yoo-Duk Choi
Department of Pathology, Chonnam National University Medical School, Korea

Keywords: complication, endobronchial ultrasound-transbronchial needle aspiration, granuloma, tuberculous lymphadenitis

JOURNAL OPEN ACCESS

2013 Volume 52 Issue 11 Pages 1207-1210

DOI https://doi.org/10.2169/internalmedicine.52.9360

Details

Abstract

Endobronchial ultrasound-transbronchial needle aspiration (EBUS-TBNA) is a useful and safe diagnostic test. We herein report a case of endotracheal granuloma formation that occurred after EBUS-TBNA in a 73-year-old woman. The patient was admitted due to coughing and dyspnea after 70 days of antituberculous therapy for mediastinal lymphadenitis. Computed tomography revealed decreases in the size of the lymph nodes with a new mass protruding into the tracheal lumen. The mass originated from the right paratracheal area, which was a previous puncture site. This case suggests that clinicians should pay attention to complications because tuberculosis can produce new granulomas via the sinus tract after EBUS-TBNA.

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