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Paradoxical worsening in tuberculosis is an exuberant inflammatory reaction characterised by clinical or radiological worsening after initiation of antitubercular therapy in the absence of disease relapse or presence of another diagnosis.1 With no defined diagnostic criteria, this entity is diagnosed purely clinically after ruling out drug resistance, poor drug compliance and disease relapse. Described prevalence is varied across literature ranging from 2.3% to 23%.2 ,3 We here did a retrospective chart review of patients with tuberculous lymphadenitis to determine the incidence of this phenomenon and also to determine the clinical and laboratory risk factors for the same. Description of this entity in Indian literature has been scarce and …
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