Pseudotumoral pulmonary tuberculosis secondary to a paradoxical reaction in an immunocompetent patient from Benin: A case report

Paradoxical reactions (PR) during tuberculosis treatment are rare in HIV negative subjects and result in polymorphic clinical presentations which could sometimes lead to confusion. We report the case of a postpartum mother, HIV negative who was placed on treatment for pulmonary tuberculosis. She experienced transient clinical improvement and developed PR which mimicked lung malignancy. This is a rare phenomenon and may result in diagnostic and therapeutic dilemma in resource poor settings.