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

대한영상의학회지

Sungjun Moon¹  Myong Hun Hahm² 

[1] Department of Radiology, Kyungpook National University Hospital, Daegu, Korea;Department of Radiology, School of Medicine, Kyungpook National University, Daegu, Korea;

关键词: human immunodeficiency virus;    acquired immune deficiency syndrome;    antiretroviral therapy;    highly active;    cryptococcal meningitis;    immune reconstitution inflammatory syndrome;   

DOI  :  https://doi.org/10.3348/jksr.2018.79.6.359

来源: DOAJ

【 摘 要 】

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.

【 授权许可】

Unknown