EUS-FNA of enlarged necrotic lymph nodes may cause infectious mediastinitis

J Thorac Oncol. 2008 Oct;3(10):1191-3. doi: 10.1097/JTO.0b013e3181872752.

Abstract

Transesophageal endoscopic ultrasound with fine-needle aspiration (EUS-FNA) is a minimally invasive technique to investigate the mediastinum. Although EUS-FNA can be considered in general as a safe technique, complications do occur. We here report an infectious complication of EUS-FNA that occurred after puncture of a large malignant necrotic mediastinal lymph node.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Amoxicillin / therapeutic use
  • Anti-Bacterial Agents / therapeutic use
  • Biopsy, Fine-Needle / adverse effects*
  • Clavulanic Acid / therapeutic use
  • Drug Therapy, Combination
  • Endosonography
  • Humans
  • Lymph Nodes / diagnostic imaging
  • Lymph Nodes / injuries*
  • Lymphatic Diseases / diagnostic imaging
  • Lymphatic Diseases / drug therapy
  • Lymphatic Diseases / microbiology*
  • Male
  • Mediastinitis / diagnostic imaging
  • Mediastinitis / drug therapy
  • Mediastinitis / microbiology*
  • Mediastinum
  • Necrosis
  • Tomography, X-Ray Computed

Substances

  • Anti-Bacterial Agents
  • Clavulanic Acid
  • Amoxicillin