TB Research

Multifocal tuberculosis-associated immune reconstitution inflammatory syndrome - a case report of a complicated scenario

Narendran G, Oliveira-de-Souza D, Vinhaes CL, Akrami K, Fukutani KF, Banu K, Chandrasekaran P, Ravichandran N, et al. (11 authors)

BMC infectious diseases · 2019-06

Abstract

Background Tuberculosis (TB)-associated Immune reconstitution inflammatory syndrome (TB-IRIS) is an aberrant inflammatory response in TB patients with advanced human immunodeficiency virus coinfection, after antiretroviral therapy commencement. Case presentation We present a rare case of a 51-year-old woman living with HIV who developed a series of TB-IRIS events occurring at multiple sites sequentially, highlighting the clinical complexity in diagnosis and management. Conclusion This case illustrates how complicated a clinical scenario of successive TB-IRIS episodes can be, in terms of clinical management.

MeSH terms

  • Humans
  • Tuberculosis, Pulmonary
  • HIV Infections
  • Anti-HIV Agents
  • Middle Aged
  • Female
  • Immune Reconstitution Inflammatory Syndrome
  • Coinfection