Imperial College London


Faculty of MedicineNational Heart & Lung Institute

Honorary Clinical Senior Lecturer







Guy Scadding BuildingRoyal Brompton Campus





Publication Type

3 results found

Bloch S, Wickremasinghe M, Wright A, Rice A, Thompson M, Kon OMet al., 2009, Paradoxical reactions in non-HIV tuberculosis presenting as endobronchial obstruction., Eur Respir Rev, Vol: 18, Pages: 295-299

Paradoxical reaction (PR) in tuberculosis (TB) is common and may affect up to 25% of patients. PR has the potential to cause significant morbidity and, on occasion, death. Although PR has been recognised for some time, the pathophysiology, especially in HIV-negative patients, is not well understood. We present two cases of PR in HIV-negative patients with TB presenting as significant airway obstruction secondary to a florid endobronchial component. These cases demonstrate that PR should be considered in all patients presenting with airway symptoms who have started TB treatment. The outcomes of the cases illustrate the need for wider recognition of this condition and more research to characterise patients who may be at risk, in order to gain a greater understanding of the mechanisms involved and to make or predict this diagnosis earlier.

Journal article

Gore DM, Bloch S, Waller W, Cohen Pet al., 2006, Peritoneal mucinous cystadenocarcinoma of probable urachal origin: a challenging diagnosis, JOURNAL OF CLINICAL PATHOLOGY, Vol: 59, Pages: 1091-1093, ISSN: 0021-9746

Journal article

Bloch S, Ustianowski A, Pasvol G, 2003, Amoebic abscess in the left lobe of the liver masquerading as pyelonephritis, JOURNAL OF INFECTION, Vol: 46, Pages: 249-250, ISSN: 0163-4453

Journal article

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