Utility of endobronchial ultrasound guided trans-bronchial needle aspiration in diagnosis of melioidosis - case series and review of literature

  • Mujeeb Rahman K.K Department of Pulmonary Medicine and Critical Care, All India Institute of Medical Sciences, Bhubaneswar, India. https://orcid.org/0000-0002-8920-168X
  • Sourin Bhuniya | sbhuniya@hotmail.com Department of Pulmonary Medicine and Critical Care, All India Institute of Medical Sciences, Bhubaneswar, India. https://orcid.org/0000-0002-6911-2081
  • Bijayini Behera Department of Microbiology, All India Institute of Medical Sciences, Bhubaneswar, India.
  • Prasanta Raghab Mohapatra Department of Pulmonary Medicine and Critical Care, All India Institute of Medical Sciences, Bhubaneswar, India. https://orcid.org/0000-0002-6625-2417
  • Rajesh Kumar Department of General Medicine, All India Institute of Medical Sciences, Bhubaneswar, India.
  • Anjuna Radhakrishnan Department of Microbiology, All India Institute of Medical Sciences, Bhubaneswar, India. https://orcid.org/0000-0001-6284-4557

Abstract

Endobronchial ultrasound guided transbronchial needle aspiration (EBUS-TBNA) is routinely performed for diagnostic evaluation of mediastinal lymphadenopathy due to various etiologies with excellent sensitivity and specificity. Melioidosis can have atypical features like isolated mediastinal lymphadenopathy mimicking as tuberculosis or lymphoma. Differentiation of such atypical melioidosis presentation become difficult due to similar clinical, radiological and even similar EBUS lymph node characteristics. Role of EBUS TBNA in diagnosing melioidosis is under investigated and sparsely reported. We describe two cases of melioidosis diagnosed by point of care rapid lateral flow immunoassay antigen testing and culture of EBUS-TBNA samples from necrotic mediastinal lymph nodes.

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Published
2020-07-13
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Issue
Section
Pneumology - Case Reports
Keywords:
Bronchoscopy, melioidosis, mediastinal lymphadenopathy, endobronchial ultrasound
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How to Cite
Rahman K.K, M., Bhuniya, S., Behera, B., Mohapatra, P. R., Kumar, R., & Radhakrishnan, A. (2020). Utility of endobronchial ultrasound guided trans-bronchial needle aspiration in diagnosis of melioidosis - case series and review of literature. Monaldi Archives for Chest Disease, 90(3). https://doi.org/10.4081/monaldi.2020.1221

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