Asian Pacific Journal of Tropical Medicine

CASE REPORT
Year
: 2022  |  Volume : 15  |  Issue : 10  |  Page : 474--476

Neurological paradox during treatment in a non-HIV patient with pulmonary tuberculosis: A case report


Thanyalak Amornpojnimman, Song Srisilpa, Pornchai Sathirapanya 
 Division of Neurology, Department of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand

Correspondence Address:
Pornchai Sathirapanya
Division of Neurology, Department of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110
Thailand

Rationale: To report neurological paradox in a non-HIV patient with pulmonary tuberculosis. Patient concerns: A 26-year-old non-human immunodeficiency virus immunosuppressed female patient presented with diffused headache, diplopia, ascending paraparesis with loss of bowel and bladder control. Diagnosis: Disseminated neurological paradoxical reaction developed during tuberculosis treatment in a non-human immunodeficiency virus patient. Intervention: High-dose intravenous corticosteroid was added to the anti-tuberculous drugs, followed by tapered dose of oral prednisolone in 3 months. Outcome: A favorable neurological outcome was obtained 6 months later. Lessons: Neurological paradoxical reaction cannot be overlooked among the tuberculosis-treated cases who present with newly emerged neurological disorders.


How to cite this article:
Amornpojnimman T, Srisilpa S, Sathirapanya P. Neurological paradox during treatment in a non-HIV patient with pulmonary tuberculosis: A case report.Asian Pac J Trop Med 2022;15:474-476


How to cite this URL:
Amornpojnimman T, Srisilpa S, Sathirapanya P. Neurological paradox during treatment in a non-HIV patient with pulmonary tuberculosis: A case report. Asian Pac J Trop Med [serial online] 2022 [cited 2023 Feb 6 ];15:474-476
Available from: https://www.apjtm.org/article.asp?issn=1995-7645;year=2022;volume=15;issue=10;spage=474;epage=476;aulast=Amornpojnimman;type=0