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Paradoxical response to anti-tubercular treatment Zaki, Syed Ahmed & Shenoy, Prithi Abstract We report a 5-year-old boy who developed optic neuritis as a paradoxical reaction to anti-tuberculous therapy. Steroids were re-started in the patient with gradual recovery of his vision. The case emphasizes the importance of recognizing paradoxical reactions in patients on anti-tuberculous therapy. Prompt recognition and treatment of such reactions will reduce the associated morbidity. Keywords Paradoxical reaction, anti-tuberculous therapy, steroids, optic neuritis

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