Recurrent Paradoxical Reaction in a Patient with Tuberculous Meningitis and Intracranial Tuberculomas
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Case Report
P: 145-149
September 2011

Recurrent Paradoxical Reaction in a Patient with Tuberculous Meningitis and Intracranial Tuberculomas

İstanbul Med J 2011;12(3):145-149
1. Haseki Eğitim ve Araştırma Hastanesi, Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Kliniği, İstanbul
2. Haseki Eğitim ve Araştırma Hastanesi, Göz Hastalıkları Kliniği, İstanbul
No information available.
No information available
Received Date: 12.11.2010
Accepted Date: 25.02.2011
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ABSTRACT

Tuberculous meningitis (TBM) is a rare but the most severe form of tuberculosis (TB). Tuberculoma is the most common intracranial finding in TBM. A 23-year-old female with a family history for TB and miliary TB and TBM presented with multiple intracranial tuberculomas and chorioretinitis “Rich foci” in eyes. The progression of the old tuberculomas and edema and presence of new tuberculomas during antituberculous treatment in months 1, 2 and 4 were evaluated as recurrent paradoxical reaction. The size of tuberculomas and edema regressed with prolonged steroid treatment. Clinical and radiological follow-up of patients with TBM is important to predict paradoxical reaction.