Title:Primary Isolated Mediastinal Abscess Masquerading as Mediastinal Mass- A Needle did the Trick
VOLUME: 13 ISSUE: 2
Author(s):Lokesh Kumar Saini, Nishant Kumar Chauhan*, Ravi Panwar, Naveen Dutt, Sonal Saran, Surya Kant and Pramod Kumar Sharma*
Affiliation:Department of Pulmonary Medicine, All India Institute of Medical Sciences, Jodhpur, Department of Pulmonary Medicine, All India Institute of Medical Sciences, Jodhpur, Department of Pulmonary Medicine, All India Institute of Medical Sciences, Jodhpur, Department of Pulmonary Medicine, All India Institute of Medical Sciences, Jodhpur, Department of Radiodiagnosis, Subharti Medical College, Meerut, Department of Respiratory Medicine, King George's Medical University, Lucknow, Department of Pharmacology, All India Institute of Medical Sciences, Jodhpur
Keywords:Abscess, aspiration, bronchoscopy, compression, mediastinal, Mycobacterium tuberculosis.
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.
