Rare Diseases Symptoms Automatic Extraction
Home
A random Abstract
Our Project
Our Team
Mediastinitis after EUS-FNA in a Patient with Sarcoidosis - Case Report with Endosonographic Features and Review of the Literature.
[esophageal adenocarcinoma]
Background
:
EUS-FNA
of
lymph
nodes
is
believed
to
harbour
no
risk
of
serious
complications
.
However
,
recently
,
a
case
series
of
mediastinal
abscess
formation
after
EUS-FNA
in
patients
with
sarcoidosis
has
been
published
.
Here
,
we
describe
a
patient
with
sarcoidosis
and
mediastinitis
after
EUS-FNA
.
Case
Report
:
Two
years
before
EUS-FNA
,
the
patient
with
a
history
of
sarcoidosis
,
was
operated
because
of
esophageal
adenocarcinoma
.
Due
to
progredient
mediastinal
lymphoma
,
we
performed
EUS-FNA
to
exclude
tumor
recurrence
.
30
hours
later
,
the
patient
developed
general
weakness
,
musculoskeletal
pain
,
non-productive
cough
,
and
mild
dysphagia
.
Ten
days
later
,
the
patient
was
admitted
with
fever
and
thrombocytopenia
.
A
CT
scan
showed
a
mediastinal
mass
without
liquid
areas
,
but
small
deposits
of
air
.
Meropenem
,
steroid
,
and
low
-dose
heparin
were
started
.
The
fever
resolved
after
24
hours
,
CRP
,
as
well
as
coagulatory
parameters
returned
to
normal
levels
after
5
days
.
Endoscopic
ultrasound
revealed
an
inhomogeneous
,
slightly
hyperechoic
,
mediastinal
mass
.
The
lymph
nodes
were
partly
dislodged
,
and
partly
embedded
into
this
mass
with
a
rounded
shape
and
large
hyperechoic
center
.
Vascularization
was
not
increased
,
liquid
areas
,
or
inclusions
of
gas
were
not
present
.
A
follow-up
examination
6
weeks
later
revealed
complete
resolution
of
the
mass
.
Conclusion
:
EUS-FNA
,
but
not
EBUS-FNA
,
seems
to
be
associated
with
an
increased
infectious
risk
in
patients
with
sarcoidosis
.
Endosonographic
features
include
inhomogeneous
,
mass-forming
mediastinal
infiltration
,
and
swelling
of
lymph
nodes
with
hyperechoic
central
parts
.
In
cases
of
suspected
sarcoidosis
,
EBUS-FNA
should
be
preferred
.
EUS-FNA
,
probably
with
antibiotic
prophylaxis
,
should
only
be
done
after
a
non-diagnostic
bronchoscopic
work-up
.
Diseases
Validation
Diseases presenting
"weakness"
symptom
achondroplasia
adrenomyeloneuropathy
alexander disease
aniridia
aromatase deficiency
coats disease
congenital toxoplasmosis
epidermolysis bullosa simplex
esophageal adenocarcinoma
familial hypocalciuric hypercalcemia
familial mediterranean fever
focal myositis
gm1 gangliosidosis
hydrocephalus with stenosis of the aqueduct of sylvius
inclusion body myositis
locked-in syndrome
lymphangioleiomyomatosis
malignant atrophic papulosis
neuralgic amyotrophy
pendred syndrome
pleomorphic liposarcoma
pyomyositis
pyruvate dehydrogenase deficiency
sneddon syndrome
systemic capillary leak syndrome
thoracic outlet syndrome
triple a syndrome
typhoid
von hippel-lindau disease
waldenström macroglobulinemia
werner syndrome
x-linked adrenoleukodystrophy
This symptom has already been validated