[Paradoxical lymphadenopathy following treatment of pulmonary tuberculosis. A rare condition with controversial management].
BACKGROUND
The appearance of a peripheral lymph node tuberculosis in end of anti-tuberculosis treatment of a pulmonary tuberculosis is a rare phenomenon whose assumption of responsibility, particularly therapeutic, is not reproduced on the recommendations of WHO.


METHODS
It is about a case of a 36 years old patient who presented, in end anti-TB treatment for ulcéroinfiltrative pulmonary tuberculosis, a left axillary adenopathy of important size. The treatment consisted with a puncture aspiration with the fine needle as well as the prolongation of the duration of the anti-TB treatment from 6 to 9 months. The evolution was favourable on radio-clinical and bacteriological level.


CONCLUSIONS
The puncture-aspiration of a paradoxical adenopathy in end of the anti-TB treatment as well as the prolongation of the duration of the treatment is effective and could constitute an alternative to the surgical excision.
Bentaleb
A
A
Service de Pneumologie, Centre Hospitalier Général Jeanne d'Arc, Bar le duc, France. abentaleb@ch-barleduc.fr
Tagu
P
P
Vascaut
L
L
D000328:Adult; D000995:Antitubercular Agents / Q000008:administration & dosage / Q000627:therapeutic use; D001365:Axilla; D044963:Biopsy, Fine-Needle; D001707:Biopsy, Needle; D004334:Drug Administration Schedule; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D014388:Tuberculosis, Lymph Node / Q000175:diagnosis*; D014397:Tuberculosis, Pulmonary / Q000188:drug therapy*
D000995:Antitubercular Agents