title: [A case of acute mediastinitis after endobronchial needle aspiration].
abstract: BACKGROUND
  Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) has become widespread, but reports of complications are rare.
  
  
  METHODS
  An enlarged mediastinal lymph node (4R) was detected in a 67-year-old man 33 months after surgery for rectal cancer, and we performed EBUS-TBNA to confirm the diagnosis. He was then admitted to hospital 13 days after the procedure, with cough, a swollen mediastinal fatty area around the 4R lymph node, and elevated WBC and CRP levels. After a diagnosis of acute mediastinitis was confirmed we gave him antibiotics, which improved his symptoms, the mediastinal fatty area and his WBC and CRP levels.
  
  
  CONCLUSIONS
  We have to be aware of the possibility of acute mediastinitis after EBUS-TBNA of necrotic lymph nodes.
authors: Department of Chest Surgery, St. Marianna University School of Medicine.
authors: Noriaki
authors: N
authors: Kurimoto
authors: Takuo
authors: T
authors: Shinmyo
authors: Rie
authors: R
authors: Tagay
authors: Kouji
authors: K
authors: Andou
authors: Katsuhiko
authors: K
authors: Morita
authors: Atsushi
authors: A
authors: Mochizuki
authors: Haruhiko
authors: H
authors: Nakamura
authors: Jyunki
authors: J
authors: Koike
mesh_terms: D000208:Acute Disease; D000368:Aged; D001707:Biopsy, Needle / Q000009:adverse effects*; D001999:Bronchoscopy; D019160:Endosonography / Q000379:methods; D006801:Humans; D008198:Lymph Nodes / Q000473:pathology; D008207:Lymphatic Metastasis / Q000473:pathology; D008297:Male; D008480:Mediastinitis / Q000473:pathology*; D008482:Mediastinum / Q000473:pathology