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Paradoxical reaction to antitubercular treatment in a case of pulmonary tuberculosis

Abstract:
A 51-year-old man presented with intermittent fever, mild cough and loss of appetite of 1-month duration. His sputum smear was positive for acid-fast bacilli and his chest radiograph revealed apical infiltrations. The patient was treated with antitubercular therapy (ATT), recovered and was well for 1 month, after which he suddenly developed focal seizures. MRI of the brain with gadolinium enhancement showed high intensity nodular foci in the frontal, parietal and occipital regions. The patient was diagnosed as a case of paradoxical reaction to ATT, and was successfully managed with continued ATT and adjunctive steroid therapy.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1136/bcr-2015-214285

Authors


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Institution:
University of Oxford
Division:
MSD
Department:
NDM
Sub department:
Tropical Medicine
Role:
Author


Publisher:
BMJ Publishing Group
Journal:
BMJ Case Reports More from this journal
Volume:
2016
Article number:
bcr2015214285
Publication date:
2016-02-17
Acceptance date:
2016-02-04
DOI:
EISSN:
1757-790X


Language:
English
Pubs id:
pubs:606225
UUID:
uuid:322e0b14-97fb-441d-abae-2934f542dc52
Local pid:
pubs:606225
Source identifiers:
606225
Deposit date:
2016-02-25

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