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Updated: Aug 18, 2026

Processing of Bronchoalveolar Lavage Fluid and Matched Blood for Alveolar Macrophage and CD4+ T-cell Immunophenotyping and HIV Reservoir Assessment
Published on: June 23, 2019
Characterization and management of paradoxical upgrading reactions in HIV-uninfected patients with lymph node
Charlotte R Hawkey1, Timothy Yap, Janis Pereira
1Department of Infection and Tropical Medicine, North West London Hospitals National Health Service Trust, Northwick Park Hospital, Harrow, United Kingdom.
Abstract:
In a retrospective analysis, paradoxical deterioration of lymph node tuberculosis in human immunodeficiency virus-uninfected patients was common, occurring in 25 (23%) of 109 patients after treatment had been given for a median of 46 days (interquartile range, 21-139 days) and persisting for a median of 67.5 days (interquartile range, 34-111 days). We found no association between the use of steroids and the duration of reaction.
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