Tuberculous adenitis - Revision history

Aidan at 04:01, 19 September 2025

2025-09-19T04:01:28Z

← Older revision		Revision as of 04:01, 19 September 2025
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	*Paradoxical reactions including paradoxical upgrading reaction are fairly common, occuring in about a quarter of cases[[CiteRef::hawkey2005ch]]		*Paradoxical reactions including paradoxical upgrading reaction are fairly common, occuring in about a quarter of cases[[CiteRef::hawkey2005ch]]
	*Presents with enlarging lymphadenopathy during (or sometimes after[[~~CiteRef::hermans2024po\|~~CiteRef::hermans2024po]]) treatment		*Presents with enlarging lymphadenopathy during (or sometimes after[[CiteRef::hermans2024po]]) treatment
	*Likely represents a reaction to an antigenic stimulus in poorly-cleared disease		*Likely represents a reaction to an antigenic stimulus in poorly-cleared disease
	*In post-treatment paradoxical reactions, need to differentiate from relapse		*In post-treatment paradoxical reactions, need to differentiate from relapse

Aidan at 04:01, 19 September 2025

2025-09-19T04:01:12Z

← Older revision		Revision as of 04:01, 19 September 2025
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	*Paradoxical reactions including paradoxical upgrading reaction are fairly common, occuring in about a quarter of cases[[CiteRef::hawkey2005ch]]		*Paradoxical reactions including paradoxical upgrading reaction are fairly common, occuring in about a quarter of cases[[CiteRef::hawkey2005ch]]
	*Presents with enlarging lymphadenopathy during (or sometimes after[[CiteRef::hermans2024po\|CiteRef::hermans2024po)]] treatment		*Presents with enlarging lymphadenopathy during (or sometimes after[[CiteRef::hermans2024po\|CiteRef::hermans2024po]]) treatment
	*Likely represents a reaction to an antigenic stimulus in poorly-cleared disease		*Likely represents a reaction to an antigenic stimulus in poorly-cleared disease
	*In post-treatment paradoxical reactions, need to differentiate from relapse		*In post-treatment paradoxical reactions, need to differentiate from relapse

Aidan at 03:54, 19 September 2025

2025-09-19T03:54:35Z

← Older revision		Revision as of 03:54, 19 September 2025
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	*Paradoxical reactions including paradoxical upgrading reaction are fairly common, occuring in about a quarter of cases[[CiteRef::hawkey2005ch]]		*Paradoxical reactions including paradoxical upgrading reaction are fairly common, occuring in about a quarter of cases[[CiteRef::hawkey2005ch]]
	*Presents with enlarging lymphadenopathy during or sometimes after treatment		*Presents with enlarging lymphadenopathy during (or sometimes after[[CiteRef::hermans2024po\|CiteRef::hermans2024po)]] treatment
	*Likely represents a reaction to an antigenic stimulus in poorly-cleared disease		*Likely represents a reaction to an antigenic stimulus in poorly-cleared disease
	*In post-treatment paradoxical reactions, need to differentiate from relapse		*In post-treatment paradoxical reactions, need to differentiate from relapse

Aidan at 03:52, 19 September 2025

2025-09-19T03:52:47Z

← Older revision		Revision as of 03:52, 19 September 2025
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	===Paradoxical Reactions===		===Paradoxical Reactions===

	*~~Paradoxial~~ ~~reaction~~ including paradoxical upgrading reaction		*Paradoxical reactions including paradoxical upgrading reaction are fairly common, occuring in about a quarter of cases[[CiteRef::hawkey2005ch]]
	*Presents with enlarging lymphadenopathy during or sometimes after treatment		*Presents with enlarging lymphadenopathy during or sometimes after treatment
	*Occurs in 25% of adenitis
	*Likely represents a reaction to an antigenic stimulus in poorly-cleared disease		*Likely represents a reaction to an antigenic stimulus in poorly-cleared disease
	*In post-treatment paradoxical reactions, need to differentiate from relapse		*In post-treatment paradoxical reactions, need to differentiate from relapse
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	*90% resolve spontaneously		*90% resolve spontaneously
	*Steroids used commonly		*Steroids used commonly

			=== Relapse ===

			* About 2-3% of patients will have a relapse within 20 months[[CiteRef::van loenhout-rooyackers2000sh]]

	[[Category:Tuberculosis]]		[[Category:Tuberculosis]]

Aidan at 13:44, 25 November 2020

2020-11-25T13:44:03Z

← Older revision		Revision as of 13:44, 25 November 2020
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	== Clinical Manifestations ==		==Clinical Manifestations==

	=== Paradoxical Reactions ===		===Paradoxical Reactions===

	* Paradoxial reaction including paradoxical upgrading reaction		*Paradoxial reaction including paradoxical upgrading reaction
			*Presents with enlarging lymphadenopathy during or sometimes after treatment
	* Occurs in 25% of adenitis		*Occurs in 25% of adenitis
	** Usually during treatment but can occur after treatment
	* Likely reaction to antigenic stimulus in poorly-cleared disease		*Likely represents a reaction to an antigenic stimulus in poorly-cleared disease
	* In post-treatment paradoxical reactions, need to differentiate from relapse		*In post-treatment paradoxical reactions, need to differentiate from relapse
	* About half will be PCR positive, 20% will be AFB positive, but none are culture positive		*About half will be PCR positive, 20% will be AFB positive, but none are culture positive
			*90% resolve spontaneously
			*Steroids used commonly

	[[Category:Tuberculosis]]		[[Category:Tuberculosis]]

Aidan: Created page with "== Clinical Manifestations == === Paradoxical Reactions === * Paradoxial reaction including paradoxical upgrading reaction * Occurs in 25% of adenitis ** Usually during trea..."

2020-11-25T13:41:36Z

Created page with "== Clinical Manifestations == === Paradoxical Reactions === * Paradoxial reaction including paradoxical upgrading reaction * Occurs in 25% of adenitis ** Usually during trea..."

New page

== Clinical Manifestations ==

=== Paradoxical Reactions ===

* Paradoxial reaction including paradoxical upgrading reaction
* Occurs in 25% of adenitis
** Usually during treatment but can occur after treatment
* Likely reaction to antigenic stimulus in poorly-cleared disease
* In post-treatment paradoxical reactions, need to differentiate from relapse
* About half will be PCR positive, 20% will be AFB positive, but none are culture positive

[[Category:Tuberculosis]]