Endoscopy 2002; 34(10): 838-839
DOI: 10.1055/s-2002-34262
Case Report

© Georg Thieme Verlag Stuttgart · New York

Iatrogenic Candidal Infection of a Mediastinal Foregut Cyst Following Endoscopic Ultrasound-Guided Fine-Needle Aspiration

A.  G.  Ryan 1 , V.  Zamvar 2 , S.  A.  Roberts 1
  • 1Department of Clinical Radiology, University Hospital of Wales, Cardiff, Wales, UK
  • 2Department of Cardiothoracic Surgery, University Hospital of Wales, Cardiff, Wales, UK
Further Information

Publication History

Submitted: 14 December 2001

Accepted after Revision: 17 April 2002

Publication Date:
23 September 2002 (online)

EUS-guided fine-needle aspiration (EUS-FNA) is a safe procedure with few complications. We describe the introduction of Candida into a mediastinal foregut cyst following trans-oesophageal EUS-FNA, and discuss the implications of this complication.

References

  • 1 Wiersema M J, Vilmann P, Giovannini M. et al . Endosonography-guided fine-needle aspiration biopsy: diagnostic accuracy and complication assessment.  Gastroenterology. 1997;  112 1087-1095
  • 2 Kuhlman J E, Fishman K E, Wang K. et al . Esophageal duplication cyst: CT and transesophageal needle aspiration.  Am J Roentgenol. 1985;  145 531-532
  • 3 Beecham J E. Fine-needle aspiration biopsy of peripheral congenital bronchial cyst.  Acta Cytol. 1988;  32 663-666
  • 4 van Dam J, Rice T W, Sivak M V Jr. Endoscopic ultrasonography and endoscopically guided needle aspiration for the diagnosis of upper gastrointestinal tract foregut cysts.  Am J Gastroenterol. 1992;  87 762-765
  • 5 Faigel D O, Burke A, Ginsberg G G. et al . The role of endoscopic ultrasound in the evaluation and management of foregut duplications.  Gastrointest Endosc. 1997;  45 99-103
  • 6 Roos-Hesselink J W, Verhoeven G T, Stoker J. Bronchogenic cyst mimicking an intracardiac mass: diagnosis by magnetic resonance imaging and treatment by needle aspiration.  Heart. 1996;  75 639
  • 7 Adam A, MacSweeney J E, Whyte M KB. et al . CT-guided extra-pleural drainage of bronchogenic cyst.  J Comput Assist Tomogr. 1989;  13 1065-1068
  • 8 Whyte M KB, Dollery C T, Adam A. et al . Central bronchogenic cyst: treatment by extrapleural percutaneous aspiration.  Br Med J. 1989;  299 1457-1458
  • 9 Schwartz D B, Beals T F, Wimbish R J. et al . Transbronchial fine needle aspiration of bronchogenic cysts.  Chest. 1985;  88 573-575
  • 10 O'Toole D, Palazzo L, Arotcarena R. et al . Assessment of complications of EUS-guided fine-needle aspiration.  Gastrointest Endosc. 2001;  53 470-474
  • 11 van de Mierop F, Bourgeois S, Hiel M. et al . Bacteremia after EUS guided puncture: a prospective analysis [abstract].  Gastrointest Endosc. 1999;  49 A13100
  • 12 Botoman V A, Surawics C M. Bacteremia with gastrointestinal endoscopic procedures.  Gastrointest Endosc. 1986;  32 342-346
  • 13 Barawi M, Gottlieb K, Cunha B. et al . A prospective evaluation of the incidence of bacteremia associated with EUS-guided fine-needle aspiration.  Gastrointest Endosc. 2001;  53 189-192
  • 14 Prasad V M, Erickson R, Contreras E D, Panelli F. Spontaneous candida mediastinitis diagnosed by endoscopic ultrasound-guided, fine-needle aspiration.  Am J Gastroenterol. 2000;  95 1072-1075
  • 15 Hoeprich P D. Infectious diseases. Philadelphia; Harper and Row 1983 3rd edn: 438-443
  • 16 Engelman R M, Williams D, Gorge T H. et al . Mediastinitis following open-heart surgery: review of two years' experience.  Arch Surg. 1973;  107 72-778

S. A. Roberts, M.B., Ch.B.

Department of Clinical Radiology · University Hospital of Wales ·

Heath Park · Cardiff, CF14 4XW · Wales · United Kingdom ·

Fax: + 44-29-20743029

Email: ashley.roberts@uhw-tr.wales.nhs.uk