Korean J Pediatr Infect Dis.  2013 Dec;20(3):186-189.

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

• Kim KH
• Lee KJ
• Kim YJ

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.

Keyword

EBUS-TBNA; Intrathoracic lymphadenopathy; Tuberculosis

MeSH Terms

Child
Humans
Lymph Nodes
Lymphadenitis*
Lymphatic Diseases
Needles*
Outpatients
Tuberculosis*
Ultrasonography*

Figure

• 

  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).

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  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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