Tuberculous adenitis: Difference between revisions
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Revision as of 13:41, 25 November 2020
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
