[Paradoxical lymphadenopathy following treatment of pulmonary tuberculosis. A rare condition with controversial management].

INTRODUCTION

The appearance of a peripheral lymph node tuberculosis in end of anti-tuberculosis treatment of a pulmonary tuberculosis is a rare phenomenon whose assumption of responsibility, particularly therapeutic, is not reproduced on the recommendations of WHO.

CLINICAL CASE

It is about a case of a 36 years old patient who presented, in end anti-TB treatment for ulcéroinfiltrative pulmonary tuberculosis, a left axillary adenopathy of important size. The treatment consisted with a puncture aspiration with the fine needle as well as the prolongation of the duration of the anti-TB treatment from 6 to 9 months. The evolution was favourable on radio-clinical and bacteriological level.

CONCLUSION

The puncture-aspiration of a paradoxical adenopathy in end of the anti-TB treatment as well as the prolongation of the duration of the treatment is effective and could constitute an alternative to the surgical excision.