Transbronchial Needle Aspiration Cytology and Purulent Pericarditis

Endobronchial ultrasound with transbronchial needle aspiration (TBNA) is commonly performed for the evaluation of mediastinal lymphadenopathy. Purulent pericarditis is a rare, yet potentially fatal complication of TBNA. It commonly presents with nonspecific symptoms such as chest pain, shortness of...

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Main Authors: Srilakshmi Vallabhaneni MD, Asim Kichloo MD, Amir Rawan MD, Michael Aljadah MD, Michael Albosta MD, Jagmeet Singh MD, Christopher Cutitta DO
Format: Article
Language:English
Published: SAGE Publishing 2020-08-01
Series:Journal of Investigative Medicine High Impact Case Reports
Online Access:https://doi.org/10.1177/2324709620951345
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author Srilakshmi Vallabhaneni MD
Asim Kichloo MD
Amir Rawan MD
Michael Aljadah MD
Michael Albosta MD
Jagmeet Singh MD
Christopher Cutitta DO
author_facet Srilakshmi Vallabhaneni MD
Asim Kichloo MD
Amir Rawan MD
Michael Aljadah MD
Michael Albosta MD
Jagmeet Singh MD
Christopher Cutitta DO
author_sort Srilakshmi Vallabhaneni MD
collection DOAJ
description Endobronchial ultrasound with transbronchial needle aspiration (TBNA) is commonly performed for the evaluation of mediastinal lymphadenopathy. Purulent pericarditis is a rare, yet potentially fatal complication of TBNA. It commonly presents with nonspecific symptoms such as chest pain, shortness of breath, palpitations, or vague abdominal discomfort. Additionally, more severe symptoms such as cardiac tamponade and even death have been reported. In this article, we present the case of a 58-year-old male who developed purulent pericardial effusion with tamponade thought to be caused by TBNA cytology. This case raises an important question regarding the current guidelines for prophylactic antibiotic treatment for patients at high risk of developing purulent pericarditis as a complication of TBNA.
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spelling doaj.art-6268f6481e144c3d9aab9c1130bc45e72022-12-22T00:51:04ZengSAGE PublishingJournal of Investigative Medicine High Impact Case Reports2324-70962020-08-01810.1177/2324709620951345Transbronchial Needle Aspiration Cytology and Purulent PericarditisSrilakshmi Vallabhaneni MD0Asim Kichloo MD1Amir Rawan MD2Michael Aljadah MD3Michael Albosta MD4Jagmeet Singh MD5Christopher Cutitta DO6St. Luke’s University Health Network, Bethlehem, PA, USACentral Michigan University, Saginaw, MI, USACentral Michigan University, Saginaw, MI, USACentral Michigan University, Saginaw, MI, USACentral Michigan University, Saginaw, MI, USAGuthrie Robert Packer Hospital, Sayre, PA, USASt. Luke’s University Health Network, Bethlehem, PA, USAEndobronchial ultrasound with transbronchial needle aspiration (TBNA) is commonly performed for the evaluation of mediastinal lymphadenopathy. Purulent pericarditis is a rare, yet potentially fatal complication of TBNA. It commonly presents with nonspecific symptoms such as chest pain, shortness of breath, palpitations, or vague abdominal discomfort. Additionally, more severe symptoms such as cardiac tamponade and even death have been reported. In this article, we present the case of a 58-year-old male who developed purulent pericardial effusion with tamponade thought to be caused by TBNA cytology. This case raises an important question regarding the current guidelines for prophylactic antibiotic treatment for patients at high risk of developing purulent pericarditis as a complication of TBNA.https://doi.org/10.1177/2324709620951345
spellingShingle Srilakshmi Vallabhaneni MD
Asim Kichloo MD
Amir Rawan MD
Michael Aljadah MD
Michael Albosta MD
Jagmeet Singh MD
Christopher Cutitta DO
Transbronchial Needle Aspiration Cytology and Purulent Pericarditis
Journal of Investigative Medicine High Impact Case Reports
title Transbronchial Needle Aspiration Cytology and Purulent Pericarditis
title_full Transbronchial Needle Aspiration Cytology and Purulent Pericarditis
title_fullStr Transbronchial Needle Aspiration Cytology and Purulent Pericarditis
title_full_unstemmed Transbronchial Needle Aspiration Cytology and Purulent Pericarditis
title_short Transbronchial Needle Aspiration Cytology and Purulent Pericarditis
title_sort transbronchial needle aspiration cytology and purulent pericarditis
url https://doi.org/10.1177/2324709620951345
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