Surgical Treatment For Mediastinitis After Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration: 2 Case Reports

We report two cases of severe mediastinitis accompanied by abscess due to endobronchial ultrasound guided transbronchial needle aspiration (EBUS-TBNA), that were successfully treated by effective surgical drainage. A 68-year-old woman was referred to our hospital due to chest discomfort and high fever after EBUS-TBNA, and a 54-year-old man was referred due to general weakness, chills, and high fever after the same procedure. Both were diagnosed with EBUS-related mediastinitis and discharged after surgical treatment. Similar to previous reports, the importance of surgical procedures for mediastinitis caused by EBUS-TBNA was suggested. Further research and establishment of guidelines on this matter is necessary. (C) 2020 The Authors. Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd.