title: Cerebral tuberculoma as a manifestation of paradoxical reaction in patients with pulmonary and extrapulmonary tuberculosis.
abstract: Expansion of cerebral tuberculomas or their new appearance as a manifestation of paradoxical reaction in patients under antituberculous chemotherapy is well documented. Distinguishing paradoxical reaction from disease progression or treatment failure is an important issue in tuberculosis management. Five cases of cerebral tuberculomas are reported here as manifestations of paradoxical reaction in patients with pulmonary and extrapulmonary tuberculosis on antituberculous treatment. Case 1 and 2 had tuberculous meningitis, Case 3 had miliary tuberculosis, Case 4 had miliary tuberculosis and destructive vertebral lesions, and Case 5 had pulmonary tuberculosis. Continuation of antituberculous drugs and addition of steroids led to full recovery of all patients.
authors.affiliation: Department of Respiratory Medicine, Medical College, Kolkata, India.
authors.forename: Anirban
authors.initials: A
authors.lastname: Das
authors.forename: Sibes Kumar
authors.initials: SK
authors.lastname: Das
authors.forename: Abhijit
authors.initials: A
authors.lastname: Mandal
authors.forename: Arup Kumar
authors.initials: AK
authors.lastname: Halder