DIAGNOSIS OF MEDIASTINAL MYCOBACTERIAL LYMPHADENOPATHY BY TRANSBRONCHIAL NEEDLE ASPIRATION

被引：24

作者：

BARON, KM ^{[1
]}

ARANDA, CP ^{[1
]}

机构：

[1] NYU,VET ADM MED CTR,DEPT PULM & CRIT CARE MED,423 E 23RD ST,NEW YORK,NY 10010

来源：

CHEST | 1991年 / 100卷 / 06期

关键词：

D O I：

10.1378/chest.100.6.1723

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

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.

引用

页码：1723 / 1724

页数：2

共 11 条

[1] TUBERCULOSIS IN PATIENTS WITH THE ACQUIRED-IMMUNODEFICIENCY-SYNDROME - CLINICAL-FEATURES, RESPONSE TO THERAPY, AND SURVIVAL [J].

CHAISSON, RE ;

SCHECTER, GF ;

THEUER, CP ;

RUTHERFORD, GW ;

ECHENBERG, DF ;

HOPEWELL, PC .

AMERICAN REVIEW OF RESPIRATORY DISEASE, 1987, 136 (03) :570-574

[2] TRANS-BRONCHIAL NEEDLE ASPIRATION IN CLINICAL-PRACTICE - A 5-YEAR EXPERIENCE [J].

HARROW, EM ;

OLDENBURG, FA ;

LINGENFELTER, MS ;

SMITH, AM .

CHEST, 1989, 96 (06) :1268-1272

[3] NONTUBERCULOUS MYCOBACTERIAL INFECTION IN AIDS - CLINICAL, PATHOLOGICAL, AND RADIOGRAPHIC FEATURES [J].

MARINELLI, DL ;

ALBELDA, SM ;

WILLIAMS, TM ;

KERN, JA ;

IOZZO, RV ;

MILLER, WT .

RADIOLOGY, 1986, 160 (01) :77-82

[4] MYCOBACTERIAL DISEASE IN PATIENTS WITH HUMAN IMMUNODEFICIENCY VIRUS-INFECTION [J].

MODILEVSKY, T ;

SATTLER, FR ;

BARNES, PF .

ARCHIVES OF INTERNAL MEDICINE, 1989, 149 (10) :2201-2205

[5]

PITCHENIK AE, 1985, AM REV RESPIR DIS, V131, P393

[6] EXTRAPULMONARY TUBERCULOSIS IN THE UNITED-STATES [J].

RIEDER, HL ;

SNIDER, DE ;

CAUTHEN, GM .

AMERICAN REVIEW OF RESPIRATORY DISEASE, 1990, 141 (02) :347-351

[7] THE ROLE OF TRANSCARINAL NEEDLE ASPIRATION IN THE STAGING OF BRONCHOGENIC-CARCINOMA [J].

SHURE, D ;

FEDULLO, PF .

CHEST, 1984, 86 (05) :693-696

[8] FLEXIBLE TRANS-BRONCHIAL NEEDLE ASPIRATION BIOPSY FOR HISTOLOGIC SPECIMENS [J].

WANG, KP .

CHEST, 1985, 88 (06) :860-863

[9]

WANG KP, 1983, AM REV RESPIR DIS, V127, P344

[10]

1986, MMWR, V35, P587

← 1 2 →