Tuberculous adenitis: Difference between revisions
From IDWiki
(Created page with "== Clinical Manifestations == === Paradoxical Reactions === * Paradoxial reaction including paradoxical upgrading reaction * Occurs in 25% of adenitis ** Usually during trea...") |
No edit summary |
||
| Line 1: | Line 1: | ||
| − | == |
+ | ==Clinical Manifestations== |
| − | === |
+ | ===Paradoxical Reactions=== |
| − | * |
+ | *Paradoxial reaction including paradoxical upgrading reaction |
| + | *Presents with enlarging lymphadenopathy during or sometimes after treatment |
||
| − | * |
+ | *Occurs in 25% of adenitis |
| − | ** Usually during treatment but can occur after treatment |
||
| − | * |
+ | *Likely represents a reaction to an 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 |
| + | *90% resolve spontaneously |
||
| + | *Steroids used commonly |
||
[[Category:Tuberculosis]] |
[[Category:Tuberculosis]] |
||
Latest revision as of 09:44, 25 November 2020
Clinical Manifestations
Paradoxical Reactions
- Paradoxial reaction including paradoxical upgrading reaction
- 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
- 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
- 90% resolve spontaneously
- Steroids used commonly
