Localized Subcarinal Adenitis following Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration

Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is a minimally invasive procedure for the diagnosis of mediastinal lymph nodes and masses. Its complications are rare and include hemorrhage, pneumothorax and infections such as mediastinitis. We report the case of a 51-year-old patient who presented with a localReceived: March 27, 2015 Accepted after revision: June 11, 2015 Published online: August 8, 2015 Albert Sánchez-Font Unitat d’Endoscòpia Respiratòria, Servei de Pneumologia Hospital del Mar, Parc de Salut Mar, UAB Passeig Marítim 25–29, ES–O8003 Barcelona (Spain) E-Mail ASanchezF @ parcdesalutmar.cat © 2015 S. Karger AG, Basel 0025–7931/15/0904–0329$39.50/0 www.karger.com/res Established Facts • Complications associated with endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) are rare and include hemorrhage, pneumothorax and infection, mainly mediastinal abscess and mediastinitis. • We know that germs colonizing the oropharynx may have been dragged along by the echobronchoscope, inoculating the punctured mediastinal lymph node.