A rare cause of airway obstruction: Mediastinal cyst secondarily infected with Mycobacterium tuberculosis

Mediastinal cysts are mostly congenital, but rarely, infections and malignancies can cause cystic degeneration of enlarged mediastinal lymph nodes. Diagnosis is challenging as the presenting symptoms are nonspecific. Surgical resection is the reference modality both for diagnosis and management. Sec...

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Main Authors: Bharath A Chhabria, Ritesh Agarwal, Mandeep Garg, Nalini Gupta, Amanjit Bal, Sahajal Dhooria, Inderpaul Singh Sehgal
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Lung India
Subjects:
Online Access:http://www.lungindia.com/article.asp?issn=0970-2113;year=2018;volume=35;issue=5;spage=421;epage=424;aulast=Chhabria
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author Bharath A Chhabria
Ritesh Agarwal
Mandeep Garg
Nalini Gupta
Amanjit Bal
Sahajal Dhooria
Inderpaul Singh Sehgal
author_facet Bharath A Chhabria
Ritesh Agarwal
Mandeep Garg
Nalini Gupta
Amanjit Bal
Sahajal Dhooria
Inderpaul Singh Sehgal
author_sort Bharath A Chhabria
collection DOAJ
description Mediastinal cysts are mostly congenital, but rarely, infections and malignancies can cause cystic degeneration of enlarged mediastinal lymph nodes. Diagnosis is challenging as the presenting symptoms are nonspecific. Surgical resection is the reference modality both for diagnosis and management. Secondary infection of mediastinal bronchogenic cyst with Mycobacterium tuberculosis is rare. Herein, we describe a young male who was managed as bronchial asthma with inhalational bronchodilators and glucocorticoids. Computed tomography revealed a cystic lesion in the subcarinal region. Endobronchial ultrasound-guided transbronchial needle aspiration was done to perform diagnostic and therapeutic aspiration of the cyst that showed infection with M. tuberculosis. A subsequent surgical resection confirmed the cystic lesion to be a bronchogenic cyst.
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spelling doaj.art-4460356bdb684d76aac927b45a14a47e2022-12-22T01:17:51ZengWolters Kluwer Medknow PublicationsLung India0970-21130974-598X2018-01-0135542142410.4103/lungindia.lungindia_445_17A rare cause of airway obstruction: Mediastinal cyst secondarily infected with Mycobacterium tuberculosisBharath A ChhabriaRitesh AgarwalMandeep GargNalini GuptaAmanjit BalSahajal DhooriaInderpaul Singh SehgalMediastinal cysts are mostly congenital, but rarely, infections and malignancies can cause cystic degeneration of enlarged mediastinal lymph nodes. Diagnosis is challenging as the presenting symptoms are nonspecific. Surgical resection is the reference modality both for diagnosis and management. Secondary infection of mediastinal bronchogenic cyst with Mycobacterium tuberculosis is rare. Herein, we describe a young male who was managed as bronchial asthma with inhalational bronchodilators and glucocorticoids. Computed tomography revealed a cystic lesion in the subcarinal region. Endobronchial ultrasound-guided transbronchial needle aspiration was done to perform diagnostic and therapeutic aspiration of the cyst that showed infection with M. tuberculosis. A subsequent surgical resection confirmed the cystic lesion to be a bronchogenic cyst.http://www.lungindia.com/article.asp?issn=0970-2113;year=2018;volume=35;issue=5;spage=421;epage=424;aulast=ChhabriaBronchogenic cystcystforegut cystmediastinumtuberculosis
spellingShingle Bharath A Chhabria
Ritesh Agarwal
Mandeep Garg
Nalini Gupta
Amanjit Bal
Sahajal Dhooria
Inderpaul Singh Sehgal
A rare cause of airway obstruction: Mediastinal cyst secondarily infected with Mycobacterium tuberculosis
Lung India
Bronchogenic cyst
cyst
foregut cyst
mediastinum
tuberculosis
title A rare cause of airway obstruction: Mediastinal cyst secondarily infected with Mycobacterium tuberculosis
title_full A rare cause of airway obstruction: Mediastinal cyst secondarily infected with Mycobacterium tuberculosis
title_fullStr A rare cause of airway obstruction: Mediastinal cyst secondarily infected with Mycobacterium tuberculosis
title_full_unstemmed A rare cause of airway obstruction: Mediastinal cyst secondarily infected with Mycobacterium tuberculosis
title_short A rare cause of airway obstruction: Mediastinal cyst secondarily infected with Mycobacterium tuberculosis
title_sort rare cause of airway obstruction mediastinal cyst secondarily infected with mycobacterium tuberculosis
topic Bronchogenic cyst
cyst
foregut cyst
mediastinum
tuberculosis
url http://www.lungindia.com/article.asp?issn=0970-2113;year=2018;volume=35;issue=5;spage=421;epage=424;aulast=Chhabria
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