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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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
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spelling doaj-db046e15aa6a4b1a800488b1e72783b02020-11-25T01:44:56ZengThe Korean Society of Radiology대한영상의학회지1738-26372288-29282018-12-01796359364https://doi.org/10.3348/jksr.2018.79.6.359Paradoxical Cryptococcal Meningitis Immune Reconstitution Inflammatory Syndrome in a Patient with Human Immunodeficiency Virus Infection: Matching Clinical Findings with MRI Findings Sungjun Moon0Myong Hun Hahm1Department of Radiology, Kyungpook National University Hospital, Daegu, KoreaDepartment of Radiology, School of Medicine, Kyungpook National University, Daegu, KoreaThere 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.https://doi.org/10.3348/jksr.2018.79.6.359human immunodeficiency virusacquired immune deficiency syndromeantiretroviral therapyhighly activecryptococcal meningitisimmune reconstitution inflammatory syndrome
collection DOAJ
language English
format Article
sources DOAJ
author Sungjun Moon
Myong Hun Hahm
spellingShingle Sungjun Moon
Myong Hun Hahm
Paradoxical Cryptococcal Meningitis Immune Reconstitution Inflammatory Syndrome in a Patient with Human Immunodeficiency Virus Infection: Matching Clinical Findings with MRI Findings
대한영상의학회지
human immunodeficiency virus
acquired immune deficiency syndrome
antiretroviral therapy
highly active
cryptococcal meningitis
immune reconstitution inflammatory syndrome
author_facet Sungjun Moon
Myong Hun Hahm
author_sort Sungjun Moon
title Paradoxical Cryptococcal Meningitis Immune Reconstitution Inflammatory Syndrome in a Patient with Human Immunodeficiency Virus Infection: Matching Clinical Findings with MRI Findings
title_short Paradoxical Cryptococcal Meningitis Immune Reconstitution Inflammatory Syndrome in a Patient with Human Immunodeficiency Virus Infection: Matching Clinical Findings with MRI Findings
title_full Paradoxical Cryptococcal Meningitis Immune Reconstitution Inflammatory Syndrome in a Patient with Human Immunodeficiency Virus Infection: Matching Clinical Findings with MRI Findings
title_fullStr Paradoxical Cryptococcal Meningitis Immune Reconstitution Inflammatory Syndrome in a Patient with Human Immunodeficiency Virus Infection: Matching Clinical Findings with MRI Findings
title_full_unstemmed Paradoxical Cryptococcal Meningitis Immune Reconstitution Inflammatory Syndrome in a Patient with Human Immunodeficiency Virus Infection: Matching Clinical Findings with MRI Findings
title_sort paradoxical cryptococcal meningitis immune reconstitution inflammatory syndrome in a patient with human immunodeficiency virus infection: matching clinical findings with mri findings
publisher The Korean Society of Radiology
series 대한영상의학회지
issn 1738-2637
2288-2928
publishDate 2018-12-01
description 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.
topic human immunodeficiency virus
acquired immune deficiency syndrome
antiretroviral therapy
highly active
cryptococcal meningitis
immune reconstitution inflammatory syndrome
url https://doi.org/10.3348/jksr.2018.79.6.359
work_keys_str_mv AT sungjunmoon paradoxicalcryptococcalmeningitisimmunereconstitutioninflammatorysyndromeinapatientwithhumanimmunodeficiencyvirusinfectionmatchingclinicalfindingswithmrifindings
AT myonghunhahm paradoxicalcryptococcalmeningitisimmunereconstitutioninflammatorysyndromeinapatientwithhumanimmunodeficiencyvirusinfectionmatchingclinicalfindingswithmrifindings
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