title: Disseminated tuberculosis with varied paradoxical reactions.
abstract: Paradoxical reactions are immune-mediated exacerbations of disease triggered by tuberculosis (TB) treatment. We describe a case of varied paradoxical reactions in a 9-year-old girl who was diagnosed with mediastinal TB and tuberculous ascites. The development of paradoxical reaction was gradual with pericardial effusion occurring first followed by pleural effusion and subsequently bilateral papilledema.
authors.affiliation: Department of Pediatrics, Pediatric TB Clinic, B. J. Wadia Hospital for Children, Mumbai, Maharashtra, India.
authors.forename: Amit Kumar
authors.initials: AK
authors.lastname: Dey
authors.affiliation: Department of Pediatrics, Pediatric TB Clinic, B. J. Wadia Hospital for Children, Mumbai, Maharashtra, India.
authors.forename: Ira
authors.initials: I
authors.lastname: Shah
keywords: Paradoxical reaction; pericardial effusion; tuberculosis