The use of thoracic computed tomography scanning and EBUS-TBNA to diagnose tuberculosis of the central nervous system: two case reports

M. R. Mehta, D. W. Connell, M. I. Wickremasinghe, O. M. Kon (Lead / Corresponding author)

    Research output: Contribution to journalArticle

    5 Citations (Scopus)

    Abstract

    Herein, we report two cases of tuberculosis (TB) of the central nervous system where accessing the cerebrospinal fluid for diagnostic purposes was relatively or absolutely contraindicated at presentation. The finding of mediastinal lymphadenopathy on thoracic computed tomography scans, which was not visible on plain chest radiography, allowed endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) of these lymph nodes to support the diagnosis of TB in each patient and rule out other disease processes. EBUS-TBNA is a new bronchoscopic technique and in this case report appears to be a safe and useful option in the diagnosis of TB. Moreover, it proved to be so in cases where the main focus of disease was outside the thorax.

    Original languageEnglish
    Pages (from-to)345-347
    Number of pages3
    JournalEuropean Respiratory Review
    Volume19
    Issue number118
    Early online date30 Nov 2010
    DOIs
    Publication statusPublished - 1 Dec 2010

    Keywords

    • Adult
    • Antitubercular Agents/therapeutic use
    • Biopsy, Fine-Needle
    • Central Nervous System Diseases/diagnostic imaging
    • Endosonography
    • Female
    • Humans
    • Tomography, X-Ray Computed
    • Treatment Outcome
    • Tuberculosis/diagnostic imaging

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