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Tuberculous mediastinal abscess as a paradoxical reaction in an immunocompetent individual
Kushal Naha1, G Vivek, Padmakumar Ramachandran
1Department of Medicine, Kasturba Medical College, Manipal, Karnataka, India.
Abstract:
A 22-year-old man, diagnosed 7 weeks before with pulmonary tuberculosis and started on antitubercular therapy, presented with non-exertional retrosternal chest pain since the past week. He was diagnosed on the strength of thoracic radiograms and CT imaging to have a mediastinal abscess, which was percutaneously drained. He was continued on the same regimen of drugs. Analysis of the fluid obtained was suggestive of tuberculous aetiology. Steroids were not required.
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