title: Tuberculous mediastinal abscess as a paradoxical reaction in an immunocompetent individual.
abstract: A 22-year-old man, diagnosed 7 weeks before with pulmonary tuberculosis and started on antitubercular therapy, presented with non-exertional retrosternal chest pain since the past week. He was diagnosed on the strength of thoracic radiograms and CT imaging to have a mediastinal abscess, which was percutaneously drained. He was continued on the same regimen of drugs. Analysis of the fluid obtained was suggestive of tuberculous aetiology. Steroids were not required.
authors.affiliation: Department of Medicine, Kasturba Medical College, Manipal, Karnataka, India.
authors.forename: Kushal
authors.initials: K
authors.lastname: Naha
authors.forename: G
authors.initials: G
authors.lastname: Vivek
authors.forename: Padmakumar
authors.initials: P
authors.lastname: Ramachandran
authors.forename: Nitin
authors.initials: N
authors.lastname: Kansal
authors.forename: Manoj Kumar
authors.initials: MK
authors.lastname: Gupta
authors.forename: K V
authors.initials: KV
authors.lastname: Rajagopal
authors.forename: Sowjanya
authors.initials: S
authors.lastname: Dasari
authors.forename: Lorraine Simone
authors.initials: LS
authors.lastname: Dias
mesh_terms: D000038:Abscess / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000995:Antitubercular Agents / Q000627:therapeutic use; D002637:Chest Pain; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008477:Mediastinal Diseases / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D013902:Radiography, Thoracic; D014057:Tomography, X-Ray Computed; D014397:Tuberculosis, Pulmonary / Q000000981:diagnostic imaging* / Q000188:drug therapy; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents; D000995:Antitubercular Agents