Paradoxical Reaction during Tuberculosis Treatment in HIV-Seronegative Patients

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TUBERCULOSIS Paradoxical reactions during tuberculosis treatment in patients with and without HIV co-infection

Background: It has been suggested that deterioration of tuberculosis (TB) during appropriate treatment, termed a paradoxical reaction (PR), is more common and severe in HIV positive individuals on highly active antiretroviral therapy (HAART). Method: A study was undertaken to determine the frequency of PR and its associated features in a population of HIV+TB+ patients and a similar sized group ...

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Paradoxical reactions during tuberculosis treatment in patients with and without HIV co-infection.

BACKGROUND It has been suggested that deterioration of tuberculosis (TB) during appropriate treatment, termed a paradoxical reaction (PR), is more common and severe in HIV positive individuals on highly active antiretroviral therapy (HAART). METHOD A study was undertaken to determine the frequency of PR and its associated features in a population of HIV+TB+ patients and a similar sized group ...

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Tuberculosis paradoxical reaction.

T is endemic in this part of the world. We frequently encounter patients with both pulmonary and extrapulmonary tuberculosis regardless of whether they are infected with human immunodeficiency virus (HIV) or not. It is not uncommon for physicians to see clinical or radiological, or both, worsening of the disease while their patient is on anti-tuberculous treatment, the so-called paradoxical rea...

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A Case of Paradoxical Reaction after Treatment of Eyelid Tuberculosis

Dear Editor, We hereby present a case of paradoxical reaction after treatment of eyelid tuberculosis (TB) with anti-TB medication. An 89-year-old man presented with painful eyelid swelling and erythema of his left eyelid, which initially developed one month earlier (Fig. 1A); he was otherwise in a healthy condition. No history of ocular trauma or operation was reported. At the time of his first...

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Systemic steroid treatment of paradoxical upgrading reaction in patients with lymph node tuberculosis.

Sir—We appreciate the comments by Sartin et al. [1] on our article [2] encouraging routine HIV testing. For HIV testing to become a routine part of medical care, procedural barriers, including signed informed consent and pretest counseling, need to be reexamined. The policy of obtaining signed informed consent prior to HIV testing was created to protect the privacy of patients at a time when th...

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ژورنال

عنوان ژورنال: Clinical Infectious Diseases

سال: 2006

ISSN: 1058-4838,1537-6591

DOI: 10.1086/500459