Respiratory Endoscopy
Online ISSN : 2758-3813
Case Report
Successful Treatment against Mediastinal Methicillin-resistant Staphylococcus aureus Infection after an Endobronchial Ultrasound-guided Transbronchial Needle Aspiration Procedure
Akihiro JoSatoshi IkegameDaisuke KiyozawaYasuto YoneshimaYoshinao OdaIsamu Okamoto
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JOURNAL OPEN ACCESS

2023 Volume 1 Issue 2 Pages 78-82

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Abstract

The case involves a 57-year-old man with a history of laryngeal and lung cancers. He underwent a laryngectomy and right upper lobectomy and developed tracheal methicillin-resistant Staphylococcus aureus (MRSA) colonization. He also underwent endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) to diagnose right mediastinal lymph node adenopathy. His recovery was complicated by a mediastinal infection caused by MRSA five days post-procedure. Combining triple antibiotics comprising MEPM, DAP, and VCM for three weeks gradually improved the mediastinal infection. To our knowledge, this is the first report of mediastinal infection caused by MRSA after EBUS-TBNA. Our successful treatment of EBUS-TBNA-related infectious complications gives us information regarding rare complications management caused by EBUS-TBNA.

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© 2023 The Japan Society for Respiratory Endoscopy

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