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Intern Med ; 52(22): 2553-9, 2013.
Article in English | MEDLINE | ID: mdl-24240796

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.


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