Key result
Transbronchial needle aspiration cytology of a necrotic lymph node was followed 15 days later by sudden cardiac tamponade and bacterial pericarditis, successfully treated with drainage and antibiotics.
Case Report (n=1)
Highlights the rare but severe complication of bacterial pericarditis and cardiac tamponade up to 3 weeks after transbronchial needle aspiration cytology, especially in cases with necrotic lymph nodes.
Answers are grounded in this paper and cite their sources.
May warrant vigilance for delayed tamponade after TBNA of necrotic nodes; single case leaves open true incidence and risk factors.
A 48-year-old man was referred for an abnormal shadow in his chest x-ray. Transbronchial needle aspiration cytology was performed at the mediastinal necrotic lymph node #7, and he was diagnosed as having small cell carcinoma. Fifteen days after bronchoscopy, sudden cardiac tamponade occurred and pericardial drainage suggested a diagnosis of bacterial pericarditis. He was successfully treated by drainage and administration of antibiotics. Complication of bacterial pericarditis associated with bronchoscopy is rare. However, physicians should watch for the appearance of this condition for up to 3 weeks after bronchoscopy, especially in cases with necrotic lymph nodes.
No takes yet. Share an insight, caveat, or question.
Matsumoto et al. (2016) conducted a case report in Bacterial pericarditis and sudden cardiac tamponade (n=1). Transbronchial needle aspiration cytology was evaluated on Development of bacterial pericarditis and cardiac tamponade. Transbronchial needle aspiration cytology of a necrotic lymph node was followed 15 days later by sudden cardiac tamponade and bacterial pericarditis, successfully treated with drainage and antibiotics.
Synapse has enriched 10 related papers. Consider them for comparative context: