High diagnostic yield of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) in the diagnosis of adolescent pulmonary tuberculosis
BMC Infectious Diseases Sep 17, 2021
Geweniger A, Janda A, Eder K, et al. - Findings demonstrate sensitivity as well as safety of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) along with its high diagnostic yield in the assessment of pediatric patients with mediastinal pathology and suspected tuberculosis (Tb).
This study involved 34 unaccompanied refugee minors, aged 14 to 17 years, with suspected pulmonary Tb.
EBUS-TBNA was conducted in 21 patients, and a high diagnostic yield was found: 66.7% positive results (M. tuberculosis identified either by acid-fast stain, culture or polymerase chain reaction in 4.8, 42.9 and 61.9% of samples, respectively).
No procedure-related complications occurred.
Pulmonary Tb, miliary Tb, and latent Tb were diagnosed in 29 patients (85.3%), two patients (5.9%), and in three patients (8.8%), respectively.
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