title: Severe paradoxical reaction requiring tracheostomy in a human immunodeficiency virus (HIV)-negative patient with cervical lymph node tuberculosis.
abstract: 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.
authors.affiliation: Department of Pathology, Inha University School of Medicine, Incheon, Korea.
authors.forename: In-Suh
authors.initials: IS
authors.lastname: Park
authors.forename: Dongwook
authors.initials: D
authors.lastname: Son
authors.forename: Chanwoo
authors.initials: C
authors.lastname: Lee
authors.forename: Jae Eun
authors.initials: JE
authors.lastname: Park
authors.forename: Jin-Soo
authors.initials: JS
authors.lastname: Lee
authors.forename: Moon-Hyun
authors.initials: MH
authors.lastname: Cheong
authors.forename: Young Mo
authors.initials: YM
authors.lastname: Kim
mesh_terms: 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