Elsevier

Journal of Infection

Volume 58, Issue 4, April 2009, Pages 309-311
Journal of Infection

Letter to the editor
Endobronchial ultrasound-guided biopsy in the evaluation of intrathoracic lymphadenopathy in suspected tuberculosis: A minimally invasive technique with a high diagnostic yield

https://doi.org/10.1016/j.jinf.2009.02.003Get rights and content

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Case 1

A 45 year-old HIV-infected male was referred to our service with mediastinal intrathoracic lymphadenopathy on chest radiograph. He gave no history of overseas travel, reported no respiratory symptoms and was constitutionally well. He had started anti-retroviral treatment three months prior and his absolute CD4 count was 4 × 106/L. CT chest revealed right-sided upper and lower paratracheal lymphadenopathy. Routine bronchoscopy was unremarkable and bronchoalveolar lavage washings were culture

Case 2

A 15 year-old girl was referred to our institution with mediastinal intrathoracic lymphadenopathy on chest radiograph. Health screening by her local practitioner identified her as HIV positive. Her absolute CD4 count was 598 × 106/L. A tuberculin skin test showed greater than 30 mm induration after 48 h with associated central ulceration. Chest CT revealed right-sided paratracheal lymphadenopathy (Fig. 1a). EBUS-TBNA sampling was performed under general anaesthesia with a laryngeal mask airway (

Conflict of interest

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