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 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.
Park
In-Suh
IS
Department of Pathology, Inha University School of Medicine, Incheon, Korea.
Son
Dongwook
D
Lee
Chanwoo
C
Park
Jae Eun
JE
Lee
Jin-Soo
JS
Cheong
Moon-Hyun
MH
Kim
Young Mo
YM
D000328:Adult; D005260:Female; D018023:HIV Seronegativity; D006801:Humans; D014057:Tomography, X-Ray Computed; D014139:Tracheostomy; D014388:Tuberculosis, Lymph Node / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery