Tuberculous paradoxical reaction with bone involvement

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, …