항결핵제에 다른 반응을 보인 속립성 폐 결절과 두개강내 결절 = A Case of Different Response of Miliary Lung and Intracranial Nodules to Antituberculous Therapy

다국어 초록 (Multilingual Abstract)

Although a paradoxical response of tuberculosis to antituberculous therapy is not a rare phenomenon, it can be a clinical challenge to differentiate a paradoxical response from treatment failure. A 25-year-old woman was admitted for miliary lung nodules and multiple intracranial nodules. Antituberculous treatment was started with a preliminary diagnosis of tuberculosis based on the history and clinical findings. After one month, the military lung nodules improved while the intracranial nodules increased in size and number. Based on a stereotactic biopsy, it was confirmed that the intracranial lesions were tuberculomas. Although the therapeutic regimen was not changed, the symptoms eventually were ameliorated and the intracranial nodules improved two months later. (Tuberc Respir Dis 2008;64:153-157)

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