Paradoxical lymphadenopathy during treatment of cavitary tuberculosis in an immunocompetent patient

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...

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Bibliographic Details
Published in:Revue de pneumologie clinique Vol. 67; no. 5; p. 318
Main Authors: Rakotoson, J L, Rakotomizao, J R, Andrianasolo, R L, Rakotoharivelo, H, Andrianarisoa, A C F
Format: Journal Article
Language:French
Published: France 01.10.2011
Subjects:
Antitubercular Agents - therapeutic use
Cough - diagnosis
Cough - etiology
Humans
Immunocompetence - physiology
Lymphatic Diseases - diagnosis
Lymphatic Diseases - diagnostic imaging
Lymphatic Diseases - etiology
Male
Radiography, Thoracic
Tuberculosis, Lymph Node - diagnosis
Tuberculosis, Lymph Node - diagnostic imaging
Tuberculosis, Pulmonary - diagnostic imaging
Tuberculosis, Pulmonary - drug therapy
Young Adult
ISSN:0761-8417, 1776-2561, 1776-2561
Online Access:Get full text
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Summary: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.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ISSN:0761-8417
1776-2561
1776-2561
DOI:10.1016/j.pneumo.2010.11.006