The First Pediatric Case of Intrathoracic Tuberculosis Lymphadenitis Diagnosed by Endobronchial Ultrasound Guided Transbronchial Needle Aspiration

Kwang Hoon Kim; Kyung Jong Lee; Yae-Jean Kim

doi:10.14776/kjpid.2013.20.3.186

Journal List > Korean J Pediatr Infect Dis > v.20(3) > 1096043

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Kim, Lee, and Kim: The First Pediatric Case of Intrathoracic Tuberculosis Lymphadenitis Diagnosed by Endobronchial Ultrasound Guided Transbronchial Needle Aspiration

Case Report

Korean Journal of Pediatric Infectious Diseases 2013; 20(3): 186-189.

Published online: 26 December 2013

DOI: https://doi.org/10.14776/kjpid.2013.20.3.186

The First Pediatric Case of Intrathoracic Tuberculosis Lymphadenitis Diagnosed by Endobronchial Ultrasound Guided Transbronchial Needle Aspiration

Kwang Hoon Kim, M.D., Kyung Jong Lee, M.D.^*, Yae-Jean Kim, M.D.

Department of Pediatrics, Samsung Medical center, Sungkyunkwan University school of Medicine, Seoul, Korea.

^*Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Corresponding author (yaejean.kim@gmail.com)

Received 28 August 2013 Revised 15 October 2013 Accepted 15 October 2013

Abstract

Endobronchial ultrasound guided transbronchial needle aspiration (EBUS-TBNA) now provides an important alternative diagnostic modality in patients with intrathoracic tuberculosis lymphadenopathy. The procedure is well tolerated in the outpatient setting, provides access to the mediastinal and hilar lymph node locations commonly in tuberculosis and also allows bronchial washing to be performed at the same procedure. However, there is no report of EBUS-TBNA applied to children to diagnose tuberculosis. We report a case of EBUS-TBNA applied to children who had intrathoracic tuberculosis lymphadenopathy.

Keywords: EBUS-TBNA, Intrathoracic lymphadenopathy, Tuberculosis

Figures and Tables

Fig. 1

(A) Chest CT (axial view): Enlarged mediastinal and hilar lymph nodes (arrows). (B) Chest CT (coronal view): Narrowed left bronchus due to enlarged lymph nodes (arrows).

Fig. 2

Needle aspiration: Ultrasonographic image in the bronchus. Solid arrow is biopsy needle tip and dashed arrows are the enlarged lymph node margin. The needle tip is targeting the lymph node.

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