A Case of Multilevel Airway Obstruction Secondary to Paradoxical Reaction to Anti TB Drugs in a Non HIV Patient with Tracheobronchial and Cervical Tuberculous Lymphadenitis
A. Kanivannen *
Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Taiping, Perak, Malaysia.
A. Suhana
Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Taiping, Perak, Malaysia.
P. Chenthilnathan
Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Taiping, Perak, Malaysia.
S. Alazzawi
Department of Otorhinolaryngology, Head and Neck Surgery, University Malaya Medical Centre, Kuala Lumpur, Malaysia.
S. Avatar
Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Taiping, Perak, Malaysia.
*Author to whom correspondence should be addressed.
Abstract
A case report of a young male diagnosed as cervical tuberculous lymphadenitis presenting with rapidly enlarging neck nodes causing airway obstructing secondary to paradoxical reaction to antituberculous drugs. This phenomenon is rare in HIV negative patient. He also had myriad of symptoms and multilevel obstructions. In this case report we discuss the presentation of patient to our center with the management and possible pitfalls.
Keywords: Multilevel airway obstruction, anti TB drugs, tuberculous lymphadenitis