Cervico-Mediastinal Lymphadenopathy as a Paradoxical Response to Chemotherapy in Pulmonary Tuberculosis

Abstract

We report a case of pulmonary tuberculosis who developed tuberculous mediastinal and later cervical lymphadenopathy while on antituberculous chemotherapy. She responded to the addition of oral corticosteroids to her regimen. The relevant literature regarding the pathogenesis, varied manifestations and the clinical importance of recognising a paradoxical response is discussed.