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doi: 10.1093/cid/ciad401 Summary Keywords tuberculous meningitis, paradoxical reaction, case series, immunocompetent, therapeutic drug monitoring Citation Gooding MS, Hammoud DA, Epling B, Rocco J, Laidlaw E, Kuriakose S, Chaturvedi M, Galindo F, Ma SV, Mystakelis H, Poole A, Russo K, Shah M, Malone JL, Rupert AW, Sereti I and Manion M (2024) Perplexing paradoxical reactions: navigating the complexity of protracted tuberculosis meningitisa case report