Table of Contents

HK J Paediatr (New Series)
Vol 14. No. 1, 2009

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


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



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