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日本呼吸器学会英文誌 Respiratory Investigation
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Abstract

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Article in Japanese

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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