Paradoxical Adenopathy in a Child with Tuberculosis

You Have to Sign In First.
Click here to Sign In

Clinical Problem:

Ira Shah
Medical Sciences Department, Pediatric Oncall, Mumbai

Address for Correspondence: Dr Ira Shah, 1, B Saguna, 271, B St Francis Road, Vile Parle {W}, Mumbai 400056

A 13½ years old girl suffering from tuberculosis {TB} presented with clinical deterioration. She was diagnosed as having tuberculous mediastinal adenopathy 7 months ago and was started on antituberculous therapy {ATT} {2 months of Isoniazid {H}, Rifampicin {R}, Pyrazinamide {Z} and Ethambutol {E} followed by continuation phase of HR}. However after 3 months of ATT, she developed cervical adenopathy for which a fine needle aspiration was done that did not grow any acid fast bacillus and child was continued on same ATT. After 5 months of ATT and no improvement in cervical adenopathy, child underwent an excision of the cervical gland and histopathology was suggestive of tuberculous abscess. On examination, her weight was 36 kg, height was 152 cm. She had midline suprasternal healing ulcer and other systems were normal. Child was thus continued on HR and total 9 months of ATT was given. She had a weight gain of 4 kg in the same period and was asymptomatic post treatment completion.

Were steroids indicated in this child_?

Disclaimer: The information given by is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.