Utility of Esophageal Ultrasound-guided Biopsy of Mediastinal Lymph Nodes in Diagnosis of Childhood Tuberculosis. Issue 5 (8th April 2022)

• Record Type: Journal Article
• Authors: Cohen, Jonathan Marc; Banks, Matthew; Kon, Onn Min; Eisen, Sarah
• Is Part Of: Pediatric infectious disease journal. Volume 41:Issue 5(2022)
• Page Start: e246
• Page End: e248
• Publication Date: 2022-04-08
• Subjects: Communicable diseases in children -- Periodicals; Infection in children -- Periodicals; 618.929
• DOI: 10.1097/INF.0000000000003498
• Languages: English
• ISSNs: 0891-3668

Abstract

Abstract : A 6-year-old boy with autistic spectrum disorder was diagnosed with tuberculosis infection following contact tracing of his mother who had isoniazid-resistant pulmonary tuberculosis. He progressed to develop mediastinal lymphadenopathy causing a persistent cough. He was too small to undergo endobronchial ultrasound-guided biopsy. As an alternative, he underwent esophageal endoscopic ultrasound-guided biopsy, leading to confirmation of the diagnosis. We believe this approach to diagnostic biopsy is underrecognized in pediatric practice, and highlight its utility with this case and a brief literature review.