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HK J Paediatr (New Series)
Vol 14. No. 1,
2009
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HK J Paediatr (New Series) 2009;14:42-45
Case Report
Enlarging Tuberculous Lymph Node Despite Treatment: Improving or Deteriorating?
LpY Lee, WK Chiu, HB Chan Department of Paediatrics and Adolescent Medicine, United Christian Hospital, 130 Hip Wo Street, Kwun Tong, Kowloon, Hong Kong, China LPY Lee (李寶儀) MBBS, MRCPCH WK Chiu (趙華強) FHKCPaed, FHKAM (Paed) HB Chan (陳衍標) FHKAM (Paed), FRCPCH Correspondence to: Dr. LPY Lee Received August 14, 2008
Abstract Tuberculous lymphadenitis is not uncommonly diagnosed in children with cervical lymphadenopathy and fever. Despite effective treatment by anti-tuberculosis therapy, the tuberculous lymph nodes can paradoxically increase in size after initial clinical improvement. This phenomenon of paradoxical reaction during treatment is common among patients with extra-pulmonary tuberculosis. We report a case of tuberculous lymphadenitis, the disease course of which was complicated by paradoxical reaction. The clinical features, pathogenesis, diagnosis and management of paradoxical reaction were highlighted. Keyword : Children; Lymphadenitis; Paradoxical reaction; Tuberculosis Abstract in Chinese
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