Adénopathie paradoxale au cours du traitement d’une tuberculose cavitaire chez un malade immunocompétent
Les réactions paradoxales au cours du traitement antituberculeux sont définies comme une majoration transitoire, clinique et/ou radiologique de lésions tuberculeuses préexistantes, ou comme l’apparition de nouveaux symptômes, alors que le traitement est adapté et correctement pris. Les auteurs rappo...
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| Vydané v: | Revue de pneumologie clinique Ročník 67; číslo 5; s. 318 - 321 |
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| Jazyk: | French |
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Elsevier Masson SAS
01.10.2011
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| Abstract | Les réactions paradoxales au cours du traitement antituberculeux sont définies comme une majoration transitoire, clinique et/ou radiologique de lésions tuberculeuses préexistantes, ou comme l’apparition de nouveaux symptômes, alors que le traitement est adapté et correctement pris. Les auteurs rapportent un cas d’adénopathie axillaire paradoxale gauche au cours du traitement d’une tuberculose cavitaire, apparue au bout de sept mois de traitement. Aucun consensus sur la prise en charge thérapeutique de cette entité n’a été élaboré jusqu’à ce jour mais bon nombre d’auteurs proposent une prolongation du traitement antituberculeux, une corticothérapie de courte durée, une ponction aspiration et/ou une exérèse chirurgicale de l’adénopathie.
The paradoxical reactions during antituberculosis treatment are defined as a transient, clinical and/or radiological increase in preexisting tuberculous lesions or as the emergence of new symptoms, while treatment is adapted and correctly taken. The authors report a case of paradoxical left axillary lymphadenopathy during the treatment of cavitary tuberculosis, which appeared after seven months of treatment. No consensus on the therapeutic management of this entity has been developed to date but many authors propose an extension of antituberculosis treatment, a short corticosteroid therapy, an aspiration puncture and/or a surgical excision of the lymphadenopathy. |
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| AbstractList | Les réactions paradoxales au cours du traitement antituberculeux sont définies comme une majoration transitoire, clinique et/ou radiologique de lésions tuberculeuses préexistantes, ou comme l’apparition de nouveaux symptômes, alors que le traitement est adapté et correctement pris. Les auteurs rapportent un cas d’adénopathie axillaire paradoxale gauche au cours du traitement d’une tuberculose cavitaire, apparue au bout de sept mois de traitement. Aucun consensus sur la prise en charge thérapeutique de cette entité n’a été élaboré jusqu’à ce jour mais bon nombre d’auteurs proposent une prolongation du traitement antituberculeux, une corticothérapie de courte durée, une ponction aspiration et/ou une exérèse chirurgicale de l’adénopathie.
The paradoxical reactions during antituberculosis treatment are defined as a transient, clinical and/or radiological increase in preexisting tuberculous lesions or as the emergence of new symptoms, while treatment is adapted and correctly taken. The authors report a case of paradoxical left axillary lymphadenopathy during the treatment of cavitary tuberculosis, which appeared after seven months of treatment. No consensus on the therapeutic management of this entity has been developed to date but many authors propose an extension of antituberculosis treatment, a short corticosteroid therapy, an aspiration puncture and/or a surgical excision of the lymphadenopathy. |
| Author | Andrianarisoa, A.C.F. Rakotomizao, J.R. Rakotoson, J.L. Andrianasolo, R.L. Rakotoharivelo, H. |
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| Cites_doi | 10.1590/S0037-86822002000100011 10.1159/000070073 10.1097/00006454-199302000-00006 10.1016/j.rhum.2006.06.014 10.1378/chest.116.6.1794 10.1159/000029251 10.1093/clinids/19.4.793 10.1093/clinids/24.3.517 10.1016/S0761-8425(07)91131-6 10.1007/s10096-002-0821-2 10.1016/S0163-4453(87)91276-X |
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| Keywords | Cavitary pulmonary tuberculosis Paradoxical lymphadenopathy Antituberculosis treatment Antituberculeux Paradoxical reactions Tuberculose pulmonaire cavitaire Management Réactions paradoxales Prise en charge Adénopathies paradoxales Adénopathie Bactériose Pathologie de l'appareil respiratoire Réaction paradoxale Mycobactériose Infection Traitement Pathologie des poumons Homme Tuberculose pulmonaire Antibactérien Pneumologie |
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| SubjectTerms | Adénopathies paradoxales Antibactériens Antibiotiques. Antiinfectieux. Antiparasitaires Antituberculeux Antituberculosis treatment Bactérioses Bactérioses de l'appareil respiratoire Bactérioses humaines Cavitary pulmonary tuberculosis Management Paradoxical lymphadenopathy Paradoxical reactions Pathologie infectieuse Pharmacologie. Traitements medicamenteux Pneumologie Prise en charge Réactions paradoxales Sciences biologiques et medicales Sciences medicales Tuberculose et mycobactérioses atypiques Tuberculose pulmonaire cavitaire |
| Title | Adénopathie paradoxale au cours du traitement d’une tuberculose cavitaire chez un malade immunocompétent |
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