A Case of Tuberculous Meningitis with Paradoxical Response in a 14-Year-Old Boy
A clinical or radiological worsening of already existing lesions or an emergence of new lesions after beginning treatment in patients with tuberculosis (TB) is referred to as the paradoxical response. This has aroused suspicion regarding the accuracy of diagnosis, the possibilities of treatment fail...
Main Authors: | , , , , , , , |
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Format: | Article |
Language: | English |
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Hindawi Limited
2016-01-01
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Series: | Case Reports in Infectious Diseases |
Online Access: | http://dx.doi.org/10.1155/2016/5875628 |
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author | Murat Özer Yasemin Özsürekci Ali Bülent Cengiz Nagehan Emiralioğlu Deniz Doğru Kader Karlı Oğuz Onur Akça Özgür Özkayar |
author_facet | Murat Özer Yasemin Özsürekci Ali Bülent Cengiz Nagehan Emiralioğlu Deniz Doğru Kader Karlı Oğuz Onur Akça Özgür Özkayar |
author_sort | Murat Özer |
collection | DOAJ |
description | A clinical or radiological worsening of already existing lesions or an emergence of new lesions after beginning treatment in patients with tuberculosis (TB) is referred to as the paradoxical response. This has aroused suspicion regarding the accuracy of diagnosis, the possibilities of treatment failure, or the presence of another underlying disease, and thus it is an important topic for clinicians to understand. In this article, the development of a paradox reaction in a 14-year-old male patient diagnosed with and treated for tuberculosis meningitis is reported. This pediatric patient with a healthy immune system is treated with steroids successfully and reported to elucidate the importance of managing the paradox of TB progression in spite of the appropriate anti-TB medications. |
first_indexed | 2024-04-14T01:41:01Z |
format | Article |
id | doaj.art-0e8f0803cea44b32897bb5ceae503d75 |
institution | Directory Open Access Journal |
issn | 2090-6625 2090-6633 |
language | English |
last_indexed | 2025-02-18T12:50:13Z |
publishDate | 2016-01-01 |
publisher | Hindawi Limited |
record_format | Article |
series | Case Reports in Infectious Diseases |
spelling | doaj.art-0e8f0803cea44b32897bb5ceae503d752024-11-02T03:58:31ZengHindawi LimitedCase Reports in Infectious Diseases2090-66252090-66332016-01-01201610.1155/2016/58756285875628A Case of Tuberculous Meningitis with Paradoxical Response in a 14-Year-Old BoyMurat Özer0Yasemin Özsürekci1Ali Bülent Cengiz2Nagehan Emiralioğlu3Deniz Doğru4Kader Karlı Oğuz5Onur Akça6Özgür Özkayar7Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, TurkeyPediatric Infectious Diseases, Hacettepe University Faculty of Medicine, Ankara, TurkeyPediatric Infectious Diseases, Hacettepe University Faculty of Medicine, Ankara, TurkeyPediatric Chest Diseases, Hacettepe University Faculty of Medicine, Ankara, TurkeyPediatric Chest Diseases, Hacettepe University Faculty of Medicine, Ankara, TurkeyDepartment of Radiology, Hacettepe University Faculty of Medicine, Ankara, TurkeyDepartment of Radiology, Hacettepe University Faculty of Medicine, Ankara, TurkeyDepartment of Pathology, Hacettepe University Faculty of Medicine, Ankara, TurkeyA clinical or radiological worsening of already existing lesions or an emergence of new lesions after beginning treatment in patients with tuberculosis (TB) is referred to as the paradoxical response. This has aroused suspicion regarding the accuracy of diagnosis, the possibilities of treatment failure, or the presence of another underlying disease, and thus it is an important topic for clinicians to understand. In this article, the development of a paradox reaction in a 14-year-old male patient diagnosed with and treated for tuberculosis meningitis is reported. This pediatric patient with a healthy immune system is treated with steroids successfully and reported to elucidate the importance of managing the paradox of TB progression in spite of the appropriate anti-TB medications.http://dx.doi.org/10.1155/2016/5875628 |
spellingShingle | Murat Özer Yasemin Özsürekci Ali Bülent Cengiz Nagehan Emiralioğlu Deniz Doğru Kader Karlı Oğuz Onur Akça Özgür Özkayar A Case of Tuberculous Meningitis with Paradoxical Response in a 14-Year-Old Boy Case Reports in Infectious Diseases |
title | A Case of Tuberculous Meningitis with Paradoxical Response in a 14-Year-Old Boy |
title_full | A Case of Tuberculous Meningitis with Paradoxical Response in a 14-Year-Old Boy |
title_fullStr | A Case of Tuberculous Meningitis with Paradoxical Response in a 14-Year-Old Boy |
title_full_unstemmed | A Case of Tuberculous Meningitis with Paradoxical Response in a 14-Year-Old Boy |
title_short | A Case of Tuberculous Meningitis with Paradoxical Response in a 14-Year-Old Boy |
title_sort | case of tuberculous meningitis with paradoxical response in a 14 year old boy |
url | http://dx.doi.org/10.1155/2016/5875628 |
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