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KMID : 0383820080640020153
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Tuberculosis and Respiratory Diseases
2008 Volume.64 No. 2 p.153 ~ p.157
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A Case of Different Response of Miliary Lung and Intracranial Nodules to Antituberculous Therapy
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Park Kwang-Young
Lee Ho-Jin
Jeong Jae-Wook
Choi Yoon-Hee
Nam Seung-Bum
Ahn Se-Han
Kim Cheol-Hyeon
Lee Jae-Chul
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Abstract
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Although a paradoxical response of tuberculosis to antituberculous therapy is not a rare phenomenon, it can be a clinical challenge to differentiate a paradoxical response from treatment failure. A 25-year-old woman was admitted for miliary lung nodules and multiple intracranial nodules. Antituberculous treatment was started with a preliminary diagnosis of tuberculosis based on the history and clinical findings. After one month, the miliary lung nodules improved while the intracranial nodules increased in size and number. Based on a stereotactic biopsy, it was confirmed that the intracranial lesions were tuberculomas. Although the therapeutic regimen was not changed, the symptoms eventually were ameliorated and the intracranial nodules improved two months later. (Tuberc Respir Dis 2008;64:153-157)
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KEYWORD
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Tuberculosis, Paradoxical response, Intracranial tuberculoma
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