title: Pulmonary Artery Invasion Caused by Mycobacterium tuberculosis.
abstract: Extrapulmonary tuberculosis refers to Mycobacterium tuberculosis involving organs other than the lungs (eg, pleura, lymph nodes, genitourinary tract, abdomen, skin, joints and bones, or meninges). In non-HIV-endemic areas, where reactivation is the predominant mechanism of tuberculosis, pleural involvement occurs in 4% of cases. We present an extremely rare case of a 62-year-old immunocompetent patient with pleural tuberculosis confirmed by surgical pleural biopsies, who presented with a large mediastinal mass and evidence of pulmonary artery invasion on CT scanning and endobronchial ultrasonography imaging, highlighting a unique and malignant-like character of the disease.
authors.affiliation: Department of Pulmonary and Critical Care Medicine, Cleveland Clinic Florida, Weston, FL. Electronic address: gleasoj@ccf.org.
authors.forename: James Benjamin
authors.initials: JB
authors.lastname: Gleason
authors.affiliation: Department of Pulmonary and Critical Care Medicine, Cleveland Clinic Florida, Weston, FL.
authors.forename: Basheer
authors.initials: B
authors.lastname: Tashtoush
authors.affiliation: Department of Pulmonary and Critical Care Medicine, Cleveland Clinic Florida, Weston, FL.
authors.forename: Jinesh
authors.initials: J
authors.lastname: Mehta
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic Florida, Weston, FL.
authors.forename: Edward
authors.initials: E
authors.lastname: Savage
authors.affiliation: Department of Radiology, Cleveland Clinic Florida, Weston, FL.
authors.forename: Felipe
authors.initials: F
authors.lastname: Martinez
authors.affiliation: Department of Pulmonary Medicine, Respiratory Institute, Cleveland Clinic, Cleveland, OH.
authors.forename: Atul C
authors.initials: AC
authors.lastname: Mehta
mesh_terms: D061765:Endoscopic Ultrasound-Guided Fine Needle Aspiration; D019160:Endosonography; D005260:Female; D006801:Humans; D007121:Immunocompetence; D008477:Mediastinal Diseases / Q000150:complications / Q000000981:diagnostic imaging* / Q000473:pathology; D008875:Middle Aged; D009169:Mycobacterium tuberculosis; D011651:Pulmonary Artery / Q000000981:diagnostic imaging* / Q000473:pathology; D014057:Tomography, X-Ray Computed; D014376:Tuberculosis / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology; D014396:Tuberculosis, Pleural / Q000150:complications / Q000000981:diagnostic imaging*; D014652:Vascular Diseases / Q000150:complications / Q000000981:diagnostic imaging* / Q000473:pathology