Pneumology - Case Reports
Vol. 90 No. 3 (2020)
https://doi.org/10.4081/monaldi.2020.1221

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

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Received: 29 December 2019
Published: 13 July 2020
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Bronchoscopy, melioidosis, mediastinal lymphadenopathy, endobronchial ultrasound

Authors

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

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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“Utility of Endobronchial Ultrasound Guided Trans-Bronchial Needle Aspiration in Diagnosis of Melioidosis - Case Series and Review of Literature”. 2020. Monaldi Archives for Chest Disease 90 (3). https://doi.org/10.4081/monaldi.2020.1221.

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