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Current Respiratory Medicine Reviews

Editor-in-Chief

ISSN (Print): 1573-398X
ISSN (Online): 1875-6387

Case Studies

Primary Isolated Mediastinal Abscess Masquerading as Mediastinal Mass- A Needle did the Trick

Author(s): Lokesh Kumar Saini, Nishant Kumar Chauhan*, Ravi Panwar, Naveen Dutt, Sonal Saran, Surya Kant and Pramod Kumar Sharma*

Volume 13, Issue 2, 2017

Page: [119 - 122] Pages: 4

DOI: 10.2174/1573398X13666170420105033

Price: $65

Abstract

Mediastinal abscess is an uncommon medical condition usually secondary to infection elsewhere. This study reports a case of a young male with fever, dry cough, reduced appetite and weight loss for one month presenting radiologically as a mediastinal mass. Flexible video-bronchoscopy with trans-tracheal needle aspiration revealed thick pus which was sterile on microscopy and culture. The patient was hospitalized and broad spectrum intravenous antibiotics were started. After few days, the patient developed worsening of symptoms. CT-guided percutaneous aspiration of abscess was done with immediate relief in compressive but persistence of constitutional symptoms. Anti-tubercular therapy was initiated and patient showed marked clinical improvement on follow-up visits.

Keywords: Abscess, aspiration, bronchoscopy, compression, mediastinal, Mycobacterium tuberculosis.

Graphical Abstract

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