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J Pediatr Neurosci. 2018 Oct-Dec;13(4):500-502. doi: 10.4103/JPN.JPN_90_18.

Recurrent Paradoxical Tuberculosis with Chest Wall Abscess and Optochiasmatic Tuberculoma.

Author information

1
Department of Paediatric Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
2
Department of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Abstract

New-onset clinical or radiological symptoms in a patient with tuberculosis pose diagnostic treatment challenges, which can be due to treatment failure, disease relapse, or paradoxical response. We describe an adolescent case of recurrent paradoxical response complicating tuberculous meningitis. The first paradoxical tuberculosis presented as chest wall abscess, which was complicated by uniocular, gradually progressive, painless loss of vision after 6 months.

KEYWORDS:

Blindness; multidrug-resistant tuberculosis; resistant tuberculosis; tuberculous meningitis; vision loss

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