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?
治療後結核性淋巴結增大:病情正在改善還是惡化?

LpY Lee, WK Chiu, HB Chan


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.

臨床上有為數不少的頸部淋巴結病伴發熱的兒童被診斷患有淋巴結結核。儘管存在有效的抗結核治療,但在最初臨床情況得到改善後,淋巴結卻會出現反常的增大現象,此現象常見於肺外結核病病人。我們報導了一例疾病過程中出現此反常現象的淋巴結結核病例,並進一步重點討論了此種反常現象的臨床特點、發病機制、診斷以及治療。

Keyword : Children; Lymphadenitis; Paradoxical reaction; Tuberculosis

關鍵詞:兒童、淋巴結炎、反常現象、結核病

 
 

This web site is sponsored by Johnson & Johnson (HK) Ltd.
©2022 Hong Kong Journal of Paediatrics. All rights reserved. Developed and maintained by Medcom Ltd.