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Between 10% and 14% of children treated for tuberculosis (TB) have a paradoxical reaction (a worsening of pre-existing TB lesions or development of new lesions after initial improvement).1 ,2 Only one case of paradoxical reaction in bone has been previously reported in a child.2
A 17-month-old boy presented with cough, lower lobe infiltrate in the right lung with mediastinal lymphadenopathy, …
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.