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Article in Japanese
Abstract
Case Report
A case of sudden onset of acute bacterial pericarditis two weeks after endobronchial ultrasound-guided transbronchial needle aspiration
Saki Nakajima Takuhide Utsunomiya Kiyokazu Yoshinoya Hidehiro Honda Keita Kudo
Department of Thoracic Medical Oncology, National Hospital Organization, Osaka Minami Medical Center
ABSTRACT
A 50-year-old man with suspected lung cancer underwent endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) of his enlarged #4R lymph node for diagnosis. The patient was diagnosed with cT1bN3M0 stage IIIB lung adenocarcinoma. He presented with precordial pain 14 days after EBUS-TBNA, and computed tomography showed a pericardial effusion. Streptococcus gordonii was detected in the pericardial effusion, and he was then diagnosed with acute bacterial pericarditis. Acute bacterial pericarditis associated with EBUS-TBNA is a serious condition; therefore, it may acutely develop a few weeks after EBUS-TBNA and can affect the time of initiation of cancer treatment and other treatments. After examination, this disease can be cited as a differential diagnosis if symptoms such as fever or chest pain appear.
KEYWORDS
Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) Complication Pericarditis
Received 17 Jun 2020 ／ Accepted 18 Aug 2020
AJRS, 9(6): 438-443, 2020
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