Paradoxical reaction to ATT - a case report

Mycobacterium tuberculosis infecting central nervous system is quite common in our country, here we are presenting a case of TB meningitis (HIV ELISAnegative), who was started on ATT, but continued to develop tuberculoma which increased in size and number when on ATT, also developed radiculomyelitis when on ATT which are possibly attributed to a PARADOXICAL REACTION to ATT initiated for TB meningitis. These manifestations subsided on reintroduction of steroids and continuation of ATT, along with supportive measures.