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Ann Thorac Surg 2002;74:261-263
© 2002 The Society of Thoracic Surgeons

Case report

Airway obstruction complicating mediastinal tuberculosis: a life-threatening presentation

Wael I. Awad, FRCS*a, Tracey D. Graves, MBBSb, Veronica C. White, MRCPb, Kit Wong, FRCSa

a Department of Cardiothoracic Surgery, Barts and the London NHS Trust, London, United Kingdom
b Department of Respiratory Medicine, Barts and the London NHS Trust, London, United Kingdom

Accepted for publication December 5, 2001.

* Address reprint requests to Mr Wong, Department of Cardiothoracic Surgery, Barts and the London NHS Trust, West Smithfield, London EC1A 7BE, UK
e-mail: kit.wong{at}bartsandthelondon.nhs.uk

We discuss the case of a young man with mediastinal tuberculosis who presented with pericarditis, thymic involvement, and respiratory failure because of upper airway obstruction. Although mediastinal tuberculosis is not uncommon, the simultaneous occurrence of these complications is exceedingly rare and in this patient resulted in an acute life-threatening illness. The diagnosis and treatment of this condition can be complex, and these aspects of the patient’s care are discussed.






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Copyright © 2002 by The Society of Thoracic Surgeons.