Key result
EBUS-TBNA can cause rare but severe infectious complications such as purulent pericarditis and cardiac tamponade, which in this case was successfully treated with drainage and antibiotics.
Why the study?
EBUS-TBNA is generally safe, but rare accounts of potentially deadly complications such as pericardial empyema occur.
Case Report (n=1)
No
Answers are grounded in this paper and cite their sources.
Although EBUS-TBNA is generally safe, it can rarely cause life-threatening purulent pericarditis and cardiac tamponade, necessitating prompt recognition and treatment.
Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is a diagnostic tool used to investigate mediastinal lesions. It has a good safety profile, but there are rare accounts of potentially deadly complications. The present article describes one such complication: pericardial empyema. A 70-year-old man underwent EBUS-TBNA for the differential diagnosis of a pulmonary mass with multiple mediastinal adenopathies. Two weeks after the procedure he developed chest pain, shortness of breath and fever, with rapid progression to hypotension, tachycardia and low peripheral saturation. He was diagnosed with purulent pericarditis with cardiac tamponade. Pericardial drainage and antibiotic therapy were employed with successful recovery from obstructive disease and septic shock.
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Alfaiate et al. (2023) conducted a case report in Pulmonary mass with mediastinal adenopathies (small-cell lung cancer) (n=1). Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) was evaluated on Complication (purulent pericarditis with cardiac tamponade). EBUS-TBNA can cause rare but severe infectious complications such as purulent pericarditis and cardiac tamponade, which in this case was successfully treated with drainage and antibiotics.
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