Successful Treatment against Mediastinal Methicillin-resistant <i>Staphylococcus aureus</i> Infection after an Endobronchial Ultrasound-guided Transbronchial Needle Aspiration Procedure

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  • Jo Akihiro
    Department of Respiratory Medicine, Graduate School of Medical Sciences, Kyushu University
  • Ikegame Satoshi
    Department of Respiratory Medicine, Graduate School of Medical Sciences, Kyushu University
  • Kiyozawa Daisuke
    Department of Anatomic Pathology, Pathological Sciences, Graduate School of Medical Sciences, Kyushu University
  • Yoneshima Yasuto
    Department of Respiratory Medicine, Graduate School of Medical Sciences, Kyushu University
  • Oda Yoshinao
    Department of Anatomic Pathology, Pathological Sciences, Graduate School of Medical Sciences, Kyushu University
  • Okamoto Isamu
    Department of Respiratory Medicine, Graduate School of Medical Sciences, Kyushu University

Description

<p>The case involves a 57-year-old man with a history of laryngeal and lung cancers. He underwent a laryngectomy and right upper lobectomy and developed tracheal methicillin-resistant Staphylococcus aureus (MRSA) colonization. He also underwent endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) to diagnose right mediastinal lymph node adenopathy. His recovery was complicated by a mediastinal infection caused by MRSA five days post-procedure. Combining triple antibiotics comprising MEPM, DAP, and VCM for three weeks gradually improved the mediastinal infection. To our knowledge, this is the first report of mediastinal infection caused by MRSA after EBUS-TBNA. Our successful treatment of EBUS-TBNA-related infectious complications gives us information regarding rare complications management caused by EBUS-TBNA.</p>

Journal

  • Respiratory Endoscopy

    Respiratory Endoscopy 1 (2), 78-82, 2023-11-29

    The Japan Society for Respiratory Endoscopy

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