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KMID : 0311120080490050853
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Yonsei Medical Journal
2008 Volume.49 No. 5 p.853 ~ p.856
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Severe Paradoxical Reaction Requiring Tracheostomy in a Human Immunodeficiency Virus (HIV)-negative Patient with Cervical Lymph Node Tuberculosis
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Park In-Suh
Lee Jin-Soo
Chung Moon-Hyun
Kim Young-Mo
Son Dong-Wook
Park Jae-Eun
Lee Chan-Woo
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Abstract
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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.
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KEYWORD
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Paradoxical reaction, lymph node, tuberculosis, tracheostomy
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