Severe Paradoxical Reaction Requiring Tracheostomy in a Human Immunodeficiency Virus (HIV)-negative Patient with Cervical Lymph Node Tuberculosis

During drug treatment of tuberculous lymphadenitis, paradoxical response (PR) may occasionally occur. Continued treatment or lymph node aspiration improves PR without severe sequelae. However, we report a case of severe PR in a patient with cervical lymph node tuberculosis causing airway obstruction...

Descripción completa

Detalles Bibliográficos
Autores principales: Park, In-Suh, Son, Dongwook, Lee, Chanwoo, Park, Jae Eun, Lee, Jin-Soo, Cheong, Moon-Hyun, Kim, Young Mo
Formato: Texto
Lenguaje:English
Publicado: Yonsei University College of Medicine 2008
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2615371/
https://www.ncbi.nlm.nih.gov/pubmed/18972608
http://dx.doi.org/10.3349/ymj.2008.49.5.853
_version_ 1782163325263544320
author Park, In-Suh
Son, Dongwook
Lee, Chanwoo
Park, Jae Eun
Lee, Jin-Soo
Cheong, Moon-Hyun
Kim, Young Mo
author_facet Park, In-Suh
Son, Dongwook
Lee, Chanwoo
Park, Jae Eun
Lee, Jin-Soo
Cheong, Moon-Hyun
Kim, Young Mo
author_sort Park, In-Suh
collection PubMed
description During drug treatment of tuberculous lymphadenitis, paradoxical response (PR) may occasionally occur. Continued treatment or lymph node aspiration improves PR without severe sequelae. However, we report a case of severe PR in a patient with cervical lymph node tuberculosis causing airway obstruction due to retropharyngeal lymph node swelling during antituberculous treatment. Tracheostomy and drainage of the node were performed to secure the airway. Possible airway obstruction due to PR must be suspected when cervical lymph node tuberculosis involves the retropharyngeal lymph node.
format Text
id pubmed-2615371
institution National Center for Biotechnology Information
language English
publishDate 2008
publisher Yonsei University College of Medicine
record_format MEDLINE/PubMed
spelling pubmed-26153712009-02-02 Severe Paradoxical Reaction Requiring Tracheostomy in a Human Immunodeficiency Virus (HIV)-negative Patient with Cervical Lymph Node Tuberculosis Park, In-Suh Son, Dongwook Lee, Chanwoo Park, Jae Eun Lee, Jin-Soo Cheong, Moon-Hyun Kim, Young Mo Yonsei Med J Case Report During drug treatment of tuberculous lymphadenitis, paradoxical response (PR) may occasionally occur. Continued treatment or lymph node aspiration improves PR without severe sequelae. However, we report a case of severe PR in a patient with cervical lymph node tuberculosis causing airway obstruction due to retropharyngeal lymph node swelling during antituberculous treatment. Tracheostomy and drainage of the node were performed to secure the airway. Possible airway obstruction due to PR must be suspected when cervical lymph node tuberculosis involves the retropharyngeal lymph node. Yonsei University College of Medicine 2008-10-31 2008-10-31 /pmc/articles/PMC2615371/ /pubmed/18972608 http://dx.doi.org/10.3349/ymj.2008.49.5.853 Text en Copyright © 2008 The Yonsei University College of Medicine http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Park, In-Suh
Son, Dongwook
Lee, Chanwoo
Park, Jae Eun
Lee, Jin-Soo
Cheong, Moon-Hyun
Kim, Young Mo
Severe Paradoxical Reaction Requiring Tracheostomy in a Human Immunodeficiency Virus (HIV)-negative Patient with Cervical Lymph Node Tuberculosis
title Severe Paradoxical Reaction Requiring Tracheostomy in a Human Immunodeficiency Virus (HIV)-negative Patient with Cervical Lymph Node Tuberculosis
title_full Severe Paradoxical Reaction Requiring Tracheostomy in a Human Immunodeficiency Virus (HIV)-negative Patient with Cervical Lymph Node Tuberculosis
title_fullStr Severe Paradoxical Reaction Requiring Tracheostomy in a Human Immunodeficiency Virus (HIV)-negative Patient with Cervical Lymph Node Tuberculosis
title_full_unstemmed Severe Paradoxical Reaction Requiring Tracheostomy in a Human Immunodeficiency Virus (HIV)-negative Patient with Cervical Lymph Node Tuberculosis
title_short Severe Paradoxical Reaction Requiring Tracheostomy in a Human Immunodeficiency Virus (HIV)-negative Patient with Cervical Lymph Node Tuberculosis
title_sort severe paradoxical reaction requiring tracheostomy in a human immunodeficiency virus (hiv)-negative patient with cervical lymph node tuberculosis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2615371/
https://www.ncbi.nlm.nih.gov/pubmed/18972608
http://dx.doi.org/10.3349/ymj.2008.49.5.853
work_keys_str_mv AT parkinsuh severeparadoxicalreactionrequiringtracheostomyinahumanimmunodeficiencyvirushivnegativepatientwithcervicallymphnodetuberculosis
AT sondongwook severeparadoxicalreactionrequiringtracheostomyinahumanimmunodeficiencyvirushivnegativepatientwithcervicallymphnodetuberculosis
AT leechanwoo severeparadoxicalreactionrequiringtracheostomyinahumanimmunodeficiencyvirushivnegativepatientwithcervicallymphnodetuberculosis
AT parkjaeeun severeparadoxicalreactionrequiringtracheostomyinahumanimmunodeficiencyvirushivnegativepatientwithcervicallymphnodetuberculosis
AT leejinsoo severeparadoxicalreactionrequiringtracheostomyinahumanimmunodeficiencyvirushivnegativepatientwithcervicallymphnodetuberculosis
AT cheongmoonhyun severeparadoxicalreactionrequiringtracheostomyinahumanimmunodeficiencyvirushivnegativepatientwithcervicallymphnodetuberculosis
AT kimyoungmo severeparadoxicalreactionrequiringtracheostomyinahumanimmunodeficiencyvirushivnegativepatientwithcervicallymphnodetuberculosis

Ejemplares similares