Diagnosis of mediastinal mycobacterial lymphadenopathy by transbronchial needle aspiration.
case_report · Level V
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Abstract
A 35-year-old man with the acquired immunodeficiency syndrome (AIDS) presented with a multitude of constitutional symptoms, fever, and marked intrathoracic lymphadenopathy. Results of initial diagnostic examination were unrevealing, and bronchoscopy with fine-gauge flexible transbronchial needle aspiration (TBNA) of subcarinal lymph nodes was performed. Two aspirates were obtained, one for cytologic study and the other for acid-fast smear. Despite obtaining acid-fast smears from numerous sites, only TBNA provided evidence of acid-fast organisms and prompted early antimycobacterial therapy. We believe this is the first report of mycobacterial intrathoracic lymphadenopathy diagnosed by TBNA.
Medical subject headings
- Acquired Immunodeficiency Syndrome
- Biopsy, Needle
- Lymphatic Diseases
- Mediastinal Diseases
- Mycobacterium avium-intracellulare Infection