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

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,India

• Department of Pharmacology, All India Institute of Medical Sciences, Jodhpur,India

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.

Cite this article as:

Saini Kumar Lokesh, Chauhan Kumar Nishant*, Panwar Ravi, Dutt Naveen, Saran Sonal, Kant Surya and Sharma Kumar Pramod *, Primary Isolated Mediastinal Abscess Masquerading as Mediastinal Mass- A Needle did the Trick, Current Respiratory Medicine Reviews 2017; 13 (2) . https://dx.doi.org/10.2174/1573398X13666170420105033