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

Submitted: December 29, 2019
Accepted: May 18, 2020
Published: July 13, 2020
Abstract Views: 903
PDF: 679
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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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Rahman K.K, Mujeeb, Sourin Bhuniya, Bijayini Behera, Prasanta Raghab Mohapatra, Rajesh Kumar, and Anjuna Radhakrishnan. 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.