Sepsis-like illness with mediastinal involvement after EUS-FNP of mediastinal lymph nodes in a patient with sarcoidosis and a history of esophageal carcinoma
W Bohle, WG Zoller · Ultraschall in der Medizin - European Journal of Ultrasound · 2013 · Heft 10
Bibliografische Angaben
Zusammenfassung
Purpose: EUS-FNP of lymph nodes is believed to harbour no risk for serious complications. Here we describe a patient with a sepsis-like illness with mediastinal involvement after EUS-FNP due to Sarcoidosis. Case report: Two years before EUS-FNP, the patient with a history of sarcoidosis, was operated because of esophageal adenocarcinoma. Due to progredient mediastinal lymphoma during follow-up, we performed EUS-FNP to exclude tumor recurrence. 24 hours after EUS-FNP, the patient developed general weekness, musculo-scelettal pain, non-productive cough, and mild dysphagia. Body temperature was not measured. After…