Paradoxical deterioration during anti-tubercular treatment in a dialysis patient on maintenance steroid therapy

Paradoxical deterioration during anti-tubercular treatment in a dialysis patient on maintenance steroid therapy.

We report a 38-year-old Chinese woman with lupus nephritis on peritoneal dialysis and long-term maintenance steroid therapy. This patient developed paradoxical deterioration during anti-tubercular therapy for tuberculous lymphadenitis. The deterioration resolved spontaneously without change to pharmacotherapy. Paradoxical deterioration that may spontaneously resolve is a potential complication ...

Paradoxical deterioration during anti-tubercular treatment in a dialysis patient on maintenance steroid therapy

Paralysis Developing as a Paradoxical Response During Treatment for Tuberculous Spondylitis

We read with great interest the published article by Park et al. [1] entitled “Paralysis Developing as a Paradoxical Response During the Treatment for Tuberculous Spondylitis: A Case Report”. The authors report the case of a 69-year-old woman who experienced bilateral lower extremity paralysis secondary to a paradoxical response. We think several more points should be discussed concerning thera...

Paradoxical response in patients with CNS tuberculosis.

AIM To report paradoxical response, i.e. recurrence of appearance of fresh symptoms, physical and radiological signs in a patient who had previously shown improvement with appropriate anti-tubercular medicines. MATERIAL AND METHODS Ten out of 58 patients of CNS tuberculosis, diagnosed on basis of clinical, laboratory and radiological data that initially showed clinical response to therapy onl...

Bevacizumab for paradoxical worsening treatment adjunct in HIV patient with choroidal tuberculoma

The use of anti-tubercular therapy (ATT) along with anti-retroviral therapy (ART) in human immunodeficiency virus-tuberculosis (HIV-TB) co-infected individuals could at times lead to paradoxical worsening due to an increase in the inflammatory activity due to immune reconstitution inflammatory syndrome (IRIS) in the eye. This is characterized by anterior and posterior segment inflammatory react...