PMID- 26294363
OWN - NLM
STAT- MEDLINE
DCOM- 20160516
LR  - 20190201
IS  - 1757-790X (Electronic)
IS  - 1757-790X (Linking)
VI  - 2015
DP  - 2015 Aug 20
TI  - Hepatic abscess as a paradoxical response to antituberculous chemotherapy for 
      tubercular lymphadenitis.
LID - 10.1136/bcr-2015-211936 [doi]
LID - bcr2015211936
AB  - Tubercular liver abscess developing as a paradoxical reaction (PR) to 
      antitubercular therapy (ATT) is relatively uncommon in the absence of 
      disseminated disease and immunocompromised status of the host even in countries 
      such as India where the disease is rampant. We report a rare case of hepatic 
      abscess that developed paradoxically during antituberculous therapy for 
      tubercular lymphadenitis in a 30-year-old woman who tested negative for HIV. 
      Diagnosis was performed with the help of ultrasonography (USG)-guided aspiration 
      of the abscess followed by cytopathological examination and PCR confirmation of 
      the disease from the USG-guided aspirate. The patient responded well to oral 
      corticosteroid therapy without any alteration of the ongoing ATT regimen. Details 
      of the case and other relevant literature regarding the pathogenesis of this 
      event are discussed in detail.
CI  - 2015 BMJ Publishing Group Ltd.
FAU - Meena, Manoj
AU  - Meena M
AD  - Department of Respiratory Medicine, Jawaharlal Nehru Medical College, Ajmer, 
      Rajasthan, India.
FAU - Gupta, Neeraj
AU  - Gupta N
AD  - Department of Respiratory Medicine, Jawaharlal Nehru Medical College, Ajmer, 
      Rajasthan, India.
FAU - Kewlani, Jaiprakash
AU  - Kewlani J
AD  - Department of Respiratory Medicine, Jawaharlal Nehru Medical College, Ajmer, 
      Rajasthan, India.
FAU - Kumararesan, Sabarigirivasan Harish Vijayadeepan
AU  - Kumararesan SH
AD  - Department of Respiratory Medicine, Jawaharlal Nehru Medical College, Ajmer, 
      Rajasthan, India.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PT  - Review
DEP - 20150820
PL  - England
TA  - BMJ Case Rep
JT  - BMJ case reports
JID - 101526291
RN  - 0 (Adrenal Cortex Hormones)
RN  - 0 (Antitubercular Agents)
SB  - IM
MH  - Adrenal Cortex Hormones/*therapeutic use
MH  - Adult
MH  - Antitubercular Agents/*adverse effects/therapeutic use
MH  - Female
MH  - Humans
MH  - India
MH  - Liver/diagnostic imaging/pathology
MH  - Liver Abscess/chemically induced/*diagnosis
MH  - Tuberculosis, Hepatic/*drug therapy
MH  - Tuberculosis, Lymph Node/*complications/drug therapy
MH  - Ultrasonography
PMC - PMC4550924
EDAT- 2015/08/22 06:00
MHDA- 2016/05/18 06:00
PMCR- 2017/08/20
CRDT- 2015/08/22 06:00
PHST- 2015/08/22 06:00 [entrez]
PHST- 2015/08/22 06:00 [pubmed]
PHST- 2016/05/18 06:00 [medline]
PHST- 2017/08/20 00:00 [pmc-release]
AID - bcr-2015-211936 [pii]
AID - 10.1136/bcr-2015-211936 [doi]
PST - epublish
SO  - BMJ Case Rep. 2015 Aug 20;2015:bcr2015211936. doi: 10.1136/bcr-2015-211936.