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EBUS-TBNA for Diagnosis of Tuberculosis / Sarcoidosis

EBUS+TBNA for Diagnosis of Tuberculosis / Sarcoidosis

Background

A 42 year old female came with chief complaints of dry cough, low grade fever, breathlessness, chest discomfort since 1 month with no history of loss of weight or appetite.

Diagnosis And Treatment

Chest X-ray shows superior mediastinal widening. CT chest shows mediastinal lymphadenopathy with right upper paratracheal node measuring 2*3 cm and lung parenchyma show fissural nodules. EBUS TBNA was done under general anaesthesia and ROSE (Rapid Onsite Examination) was positive for non-caseating Granulomatous Inflammation. Bronchoscopy was done simultaneously which showed nodular mucosa suggestive of sarcoidosis.

EBUS TBNA aspirate for AFB Smear and GENEXPERT- MTB turned out to be positive. Tuberculosis presenting with non-caseating granulomas and fissural nodules is rare and atypical.

EBUS+TBNA for Diagnosis of Tuberculosis / Sarcoidosis

Figure 1: Healthy Mucosa

EBUS+TBNA for Diagnosis of Tuberculosis / Sarcoidosis

Figure 2: Nodular Mucosa

 

EBUS+TBNA for Diagnosis of Tuberculosis / Sarcoidosis

Figure 3: Healthy Mucosa

EBUS+TBNA for Diagnosis of Tuberculosis / Sarcoidosis

Figure 4: Nodular Mucosa

EBUS+TBNA for Diagnosis of Tuberculosis / Sarcoidosis

Figure 5: Lymph node size Paratracheal Node (4R)

EBUS+TBNA for Diagnosis of Tuberculosis / Sarcoidosis

Figure 6: Paratracheal node Elastography – Type 2 Node

 

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Figure 7: Paratracheal node EBUS – TBNA

About Author –

Dr. Mallu Gangadhar Reddy, Consultant Pulmonologist, Yashoda Hospitals - Hyderabad
MD, DNB (Pulmonology), FCCP (USA)

Bestpulmonologist in hyderabad

Dr. Mallu Gangadhar Reddy

MD, DNB (Pulmonology), FCCP (USA)
Senior Consultant & Interventional Pulmonologist

About Author –

Dr. Mahesh Gudelli
Dr. Varun
Yashoda Hospitals, Secunderabad

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