Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2003 Dec;20(6 Pt 1):973-7.

[Needle aspiration in paradoxical hypertrophy of tuberculous lymphadenitis]

[Article in French]
A Meybeck  1 , N Just, M Nyunga, M Bourahla, B Wallaert
Affiliations
  • PMID: 14743103
Case Reports

[Needle aspiration in paradoxical hypertrophy of tuberculous lymphadenitis]

[Article in French]
A Meybeck et al. Rev Mal Respir. 2003 Dec.

Abstract

Introduction: Paradoxical hypertrophy is frequent in case of peripheral lymph node tuberculosis. Its management remains controversial.

Case study: We report a case of susclavicular and anterior cervical lymph nodes tuberculosis complicated by paradoxical hypertrophy after 4 months of treatment in a 59-year-old woman. The lymph node was not compressive but was limiting the cervical mobilisation. The caseum was sucking three times with a fine needle. Thereafter we performed an isoniazid injection each 24 hours for three days at three different lymph node sites. Antituberculous treatment was reinitiated for 10 months at all and lymph nodes completely disappeared without functional sequels.

Conclusion: Paradoxical hypertrophy is a frequent complication of peripheral lymph node tuberculosis. Caseum suction of the paradoxical hypertrophy with a fine needle may constitute an alternative treatment of surgery.

PubMed Disclaimer