Severe Paradoxical Reaction Requiring Tracheostomy in a Human Immunodeficiency Virus (HIV)-negative Patient with Cervical Lymph Node Tuberculosis.
10.3349/ymj.2008.49.5.853
- Author:
In Suh PARK
1
;
Dongwook SON
;
Chanwoo LEE
;
Jae Eun PARK
;
Jin Soo LEE
;
Moon Hyun CHEONG
;
Young Mo KIM
Author Information
1. Department of Pathology, Inha University School of Medicine, Incheon, Korea. ljinsoo@medimail.co.kr
- Publication Type:Case Report ; Research Support, Non-U.S. Gov't
- Keywords:
Paradoxical reaction;
lymph node;
tuberculosis;
tracheostomy
- MeSH:
Adult;
Female;
*HIV Seronegativity;
Humans;
Tomography, X-Ray Computed;
*Tracheostomy;
Tuberculosis, Lymph Node/*complications/radiography/surgery
- From:Yonsei Medical Journal
2008;49(5):853-856
- CountryRepublic of Korea
- Language:English
-
Abstract:
During drug treatment of tuberculous lymphadenitis, paradoxical response (PR) may occasionally occur. Continued treatment or lymph node aspiration improves PR without severe sequelae. However, we report a case of severe PR in a patient with cervical lymph node tuberculosis causing airway obstruction due to retropharyngeal lymph node swelling during antituberculous treatment. Tracheostomy and drainage of the node were performed to secure the airway. Possible airway obstruction due to PR must be suspected when cervical lymph node tuberculosis involves the retropharyngeal lymph node.
