Paradoxical Cryptococcal Meningitis Immune Reconstitution Inflammatory Syndrome in a Patient with Human Immunodeficiency Virus Infection: Matching Clinical Findings with MRI Findings

Paradoxical Cryptococcal Meningitis Immune Reconstitution Inflammatory Syndrome in a Patient with Human Immunodeficiency Virus Infection: Matching Clinical Findings with MRI Findings

There are two forms of cryptococcal meningitis immune reconstitution inflammatory syndrome (CM-IRIS): paradoxical CM-IRIS and unmasking CM-IRIS. It is important to distinguish paradoxical CM-IRIS and CM relapse because mortality of CM-IRIS is higher than that of CM without IRIS, and paradoxical CM-I...

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Bibliographic Details
Main Authors: Sungjun Moon, Myong Hun Hahm
Format: Article
Language:English
Published: The Korean Society of Radiology 2018-12-01
Series:대한영상의학회지
Subjects:
human immunodeficiency virus
acquired immune deficiency syndrome
antiretroviral therapy
highly active
cryptococcal meningitis
immune reconstitution inflammatory syndrome
Online Access:https://doi.org/10.3348/jksr.2018.79.6.359
Description
Summary:There are two forms of cryptococcal meningitis immune reconstitution inflammatory syndrome (CM-IRIS): paradoxical CM-IRIS and unmasking CM-IRIS. It is important to distinguish paradoxical CM-IRIS and CM relapse because mortality of CM-IRIS is higher than that of CM without IRIS, and paradoxical CM-IRIS and CM relapse requires different treatment. We report a case of paradoxical CM-IRIS that well matches the clinical findings with MR findings during three years follow-up of a HIV infected patient and new MRI finding is also introduced to help distinguish them.
ISSN:1738-2637
2288-2928

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