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KMID : 0614620110570060379
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Korean Journal of Gastroenterology
2011 Volume.57 No. 6 p.379 ~ p.383
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A Case of Tuberculous Peritonitis Developed during Chemotherapy for Tuberculous Pleurisy as Paradoxical Response
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Kim Sun-Young
Oh Tae-Hoon
Seo Ji-Young
Hong Jin-Hee
Jeon Tae-Joo
Seo Dong-Dae
Shin Won-Chang
Choi Won-Choong
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Abstract
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After the start of anti-tuberculous treatment, paradoxical worsening of tuberculous lesions has been described. However, abdominal tuberculosis as paradoxical response is relatively rare. This report describes the 26-year-old female who suffered from peritoneal tuberculosis while treating tuberculous pleurisy with anti-tuberculous medications. It was considered as paradoxical response, rather than treatment failure or else. She was successfully managed with continuing initial anti-tuberculous medications. When a patient on anti-tuberculous medications is presented with abdominal symptoms, the possibility of paradoxical response should be considered to avoid unnecessary tests and treatments, which may result in more suffering of the patient. Herein, we report a case of peritoneal tuberculosis as paradoxical response while treating tuberculous pleurisy.
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KEYWORD
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Paradoxical response, Tuberculous peritonitis, Tuberculous pleurisy, Peritoneal tuberculosis
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