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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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2018-01-01
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Series: | Lung India |
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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. |
first_indexed | 2024-12-11T06:20:20Z |
format | Article |
id | doaj.art-4460356bdb684d76aac927b45a14a47e |
institution | Directory Open Access Journal |
issn | 0970-2113 0974-598X |
language | English |
last_indexed | 2024-12-11T06:20:20Z |
publishDate | 2018-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Lung India |
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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