Yıl: 2021 Cilt: 26 Sayı: 4 Sayfa Aralığı: 772 - 777 Metin Dili: Türkçe DOI: 10.5578/flora.20219626 İndeks Tarihi: 17-05-2022

Tüberkülozda Paradoks Yanıt, Peki Ama Ne Zaman?

Öz:
Santral Sinir Sistemi Tüberkülozu ekstrapulmoner tüberkülozun en önemli ve en ciddi klinik formudur. Paradoks yanıt genellikle (%83)ekstrapulmoner tüberkülozda görülmekte olup, kötüleşme bulguları sıklıkla tedavinin ikinci ayında ortaya çıkmaktadır. Bu yazıda anti tüberküloz tedavinin beşinci ayında ortaya çıkan bir paradoks yanıt olgusu anlatılmış olup, paradoks yanıtın beklenenden uzun süresonra da gelişebileceğine dikkat çekmek istenmiştir.
Anahtar Kelime:

Paradoxical Progression in Tuberculosis, but When?

Öz:
Central Nervous System Tuberculosis is the most important and most serious clinical form of extrapulmonary tuberculosis. Paradoxicalresponse is usually seen (83%) in extrapulmonary tuberculosis, and worsening findings often occur in the second month of treatment.In our report, a case of paradoxical response that occurred in the fifth month of antituberculosis treatment was described, and it wasaimed to draw attention to the fact that paradoxical response may develop later than expected.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
  • 1. Warner JF. Cerebral tuberculoma developing during treatment of tuberculous meningitis. Lancet (London, England) 1980;2(8185):84.
  • 2. Cheng VC, Ho PL, Lee RA, Chan KS, Chan KK, Woo PC, et al. Clinical spectrum of paradoxical deterioration during antituberculosis therapy in non-HIV-infected patients. European journal of clinical microbiology & infectious diseases : official publication of the Eur Soc Clin Microbiol 2002;21(11):803-9.
  • 3. Yalcinsoy M, Baran A, Bilgin S, Afsar BB, Celenk O, Esen Akkaya M. Increase in size of lymph nodes or occurrence of new lymphadenopathy during antituberculosis chemotherapy: paradoxical response. Mikrobiyol Bul 2013;47(2):385-7.
  • 4. Yu SN, Cho OH, Park KH, Jung J, Kim YK, Lee JY, et al. Late paradoxical lymph node enlargement during and after anti-tuberculosis treatment in non-HIV-infected patients. The international journal of tuberculosis and lung disease: the official journal of the International Union against. Tuberc Lung Dis 2015;19(11):1388-94.
  • 5. Lee LPY, Chiu WK, Chan HB. Enlarging tuberculous lymph node despite treatment: ımproving or deteriorating? HK J Paediatr (New Series) 2009;14:42-5.
  • 6. Breen RA, Smith CJ, Bettinson H, Dart S, Bannister B, Johnson MA, et al. Paradoxical reactions during tuberculosis treatment in patients with and without HIV co-infection. Thorax 2004;59(8):704-7.
  • 7. Yamada G, Nishikiori H, Fujii M, Inomata S, Chiba H, Hirokawa N, et al. Systemic lymph node tuberculosis presenting with an aseptic psoas abscess caused by a paradoxical reaction after nine months of antituberculosis treatment: a case report. J Med Case Rep 2013;7:72.
  • 8. Brown CS, Smith CJ, Breen RA, Ormerod LP, Mittal R, Fisk M, et al. Determinants of treatment-related paradoxical reactions during anti-tuberculosis therapy: a case control study. BMC Infect Dis 2016;16:479.
  • 9. Jeon K, Choi WI, An JS, Lim SY, Kim WJ, Park GM, et al. Paradoxical response in HIV-negative patients with pleural tuberculosis: a retrospective multicentre study. The international journal of tuberculosis and lung disease: the official journal of the International Union against Tuberc Lung Dis 2012;16(6):846-51.
  • 10. Kalita J, Prasad S, Misra UK. Predictors of paradoxical tuberculoma in tuberculous meningitis. The international journal of tuberculosis and lung disease: the official journal of the International Union against Tuberc Lung Dis 2014;18(4):486-91.
  • 11. Shah I, Borse S. Paradoxical tuberculomas after completion of antituberculous treatment. Trop Med Health 2012;40(1):15-7.
  • 12. Chang T, Rodrigo C, Ranawaka N, Atukorala I. Multiple ring-enhancing cerebral lesions in systemic lupus erythematosis: a case report. J Med Case Rep 2012;6(1):172.
  • 13. Lees AJ, MacLeod AF, Marshall J. Cerebral tuberculomas developing during treatment of tuberculous meningitis. Lancet (London, England) 1980;1(8180):1208-11.
  • 14. Teoh R, Humphries MJ, O’Mahony G. Symptomatic intracranial tuberculoma developing during treatment of tuberculosis: a report of 10 patients and review of the literature. Quarterly J Med 1987;63(241):449-60.
  • 15. Gonlugur U, Kosar S, Mirici A. Paradoxical radiologic progression despite appropriate anti-tuberculous therapy. Mikrobiyol Bul 2012;46(2):299-303.
  • 16. Hejazi N, Hassler W. Multiple intracranial tuberculomas with atypical response to tuberculostatic chemotherapy: literature review and a case report. Infection 1997;25:233- 9.
  • 17. Sonmez G, Ozturk E, Sildiroglu HO, Mutlu H, Cuce F, Güney Şenol M, et al. MRI findings of intracranial tuberculomas. Clin Imaging 2008;32:88-92.
  • 18. Dube MP, Holtom PD, Larsen RA. Tuberculous meningitis in patients with and without human immunodeficiency virus infection. Am J Med 1992;93(5):520-4.
  • 19. Özer M, Özsürekci Y, Cengiz AB, Emiralioğlu N, Doğru D, Oğuz KK, et al. A Case of Tuberculous Meningitis with Paradoxical Response in a 14-Year-Old Boy. Case Rep Infect Dis 2016;2016:5875628.
APA ARAZ H, BAŞTUĞ A, kocagül çelikbaş a, Koç S, Altunsoy A, Bodur H (2021). Tüberkülozda Paradoks Yanıt, Peki Ama Ne Zaman?. , 772 - 777. 10.5578/flora.20219626
Chicago ARAZ Halime,BAŞTUĞ Aliye,kocagül çelikbaş aysel,Koç Süleyman,Altunsoy Adalet,Bodur Hurrem Tüberkülozda Paradoks Yanıt, Peki Ama Ne Zaman?. (2021): 772 - 777. 10.5578/flora.20219626
MLA ARAZ Halime,BAŞTUĞ Aliye,kocagül çelikbaş aysel,Koç Süleyman,Altunsoy Adalet,Bodur Hurrem Tüberkülozda Paradoks Yanıt, Peki Ama Ne Zaman?. , 2021, ss.772 - 777. 10.5578/flora.20219626
AMA ARAZ H,BAŞTUĞ A,kocagül çelikbaş a,Koç S,Altunsoy A,Bodur H Tüberkülozda Paradoks Yanıt, Peki Ama Ne Zaman?. . 2021; 772 - 777. 10.5578/flora.20219626
Vancouver ARAZ H,BAŞTUĞ A,kocagül çelikbaş a,Koç S,Altunsoy A,Bodur H Tüberkülozda Paradoks Yanıt, Peki Ama Ne Zaman?. . 2021; 772 - 777. 10.5578/flora.20219626
IEEE ARAZ H,BAŞTUĞ A,kocagül çelikbaş a,Koç S,Altunsoy A,Bodur H "Tüberkülozda Paradoks Yanıt, Peki Ama Ne Zaman?." , ss.772 - 777, 2021. 10.5578/flora.20219626
ISNAD ARAZ, Halime vd. "Tüberkülozda Paradoks Yanıt, Peki Ama Ne Zaman?". (2021), 772-777. https://doi.org/10.5578/flora.20219626
APA ARAZ H, BAŞTUĞ A, kocagül çelikbaş a, Koç S, Altunsoy A, Bodur H (2021). Tüberkülozda Paradoks Yanıt, Peki Ama Ne Zaman?. Flora İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi, 26(4), 772 - 777. 10.5578/flora.20219626
Chicago ARAZ Halime,BAŞTUĞ Aliye,kocagül çelikbaş aysel,Koç Süleyman,Altunsoy Adalet,Bodur Hurrem Tüberkülozda Paradoks Yanıt, Peki Ama Ne Zaman?. Flora İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi 26, no.4 (2021): 772 - 777. 10.5578/flora.20219626
MLA ARAZ Halime,BAŞTUĞ Aliye,kocagül çelikbaş aysel,Koç Süleyman,Altunsoy Adalet,Bodur Hurrem Tüberkülozda Paradoks Yanıt, Peki Ama Ne Zaman?. Flora İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi, vol.26, no.4, 2021, ss.772 - 777. 10.5578/flora.20219626
AMA ARAZ H,BAŞTUĞ A,kocagül çelikbaş a,Koç S,Altunsoy A,Bodur H Tüberkülozda Paradoks Yanıt, Peki Ama Ne Zaman?. Flora İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi. 2021; 26(4): 772 - 777. 10.5578/flora.20219626
Vancouver ARAZ H,BAŞTUĞ A,kocagül çelikbaş a,Koç S,Altunsoy A,Bodur H Tüberkülozda Paradoks Yanıt, Peki Ama Ne Zaman?. Flora İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi. 2021; 26(4): 772 - 777. 10.5578/flora.20219626
IEEE ARAZ H,BAŞTUĞ A,kocagül çelikbaş a,Koç S,Altunsoy A,Bodur H "Tüberkülozda Paradoks Yanıt, Peki Ama Ne Zaman?." Flora İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi, 26, ss.772 - 777, 2021. 10.5578/flora.20219626
ISNAD ARAZ, Halime vd. "Tüberkülozda Paradoks Yanıt, Peki Ama Ne Zaman?". Flora İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi 26/4 (2021), 772-777. https://doi.org/10.5578/flora.20219626