Cerebral tuberculoma as a manifestation of paradoxical reaction in patients with pulmonary and extrapulmonary tuberculosis

被引：12

作者：

Das, Anirban ^{[1
]}

Das, Sibes Kumar ^{[1
]}

Mandal, Abhijit ^{[2
]}

Halder, Arup Kumar ^{[3
]}

机构：

[1] Med Coll, Dept Resp Med, Kolkata, India

[2] BS Med Coll, Bankura, India

[3] Columbia Asia Hosp, Dept Resp Med, Kolkata, W Bengal, India

来源：

JOURNAL OF NEUROSCIENCES IN RURAL PRACTICE | 2012年 / 3卷 / 03期

关键词：

Intracranial; paradoxical reaction; tuberculoma; tuberculosis;

D O I：

10.4103/0976-3147.102622

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

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.

引用

页码：350 / 354

页数：5

共 17 条

[1] PARADOXICAL ENLARGEMENT OR DEVELOPMENT OF INTRACRANIAL TUBERCULOMAS DURING THERAPY - CASE-REPORT AND REVIEW [J].