A Case of Tuberculous Peritonitis Developed during Chemotherapy for Tuberculous Pleurisy as Paradoxical Response.
10.4166/kjg.2011.57.6.379
- Author:
Sun Young KIM
1
;
Tae Hoon OH
;
Ji Young SEO
;
Jin Hee HONG
;
Tae Joo JEON
;
Dong Dae SEO
;
Won Chang SHIN
;
Won Choong CHOI
Author Information
1. Department of Internal Medicine, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea. osbbang@paik.ac.kr
- Publication Type:Case Report
- Keywords:
Paradoxical response;
Tuberculous peritonitis;
Tuberculous pleurisy;
Peritoneal tuberculosis
- From:The Korean Journal of Gastroenterology
2011;57(6):379-383
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
After the start of anti-tuberculous treatment, paradoxical worsening of tuberculous lesions has been described. However, abdominal tuberculosis as paradoxical response is relatively rare. This report describes the 26-year-old female who suffered from peritoneal tuberculosis while treating tuberculous pleurisy with anti-tuberculous medications. It was considered as paradoxical response, rather than treatment failure or else. She was successfully managed with continuing initial anti-tuberculous medications. When a patient on anti-tuberculous medications is presented with abdominal symptoms, the possibility of paradoxical response should be considered to avoid unnecessary tests and treatments, which may result in more suffering of the patient. Herein, we report a case of peritoneal tuberculosis as paradoxical response while treating tuberculous pleurisy.
