title: Clinical and radiological deterioration in a patient with AIDS.
abstract: Paradoxical clinical deterioration of miliary tuberculosis, characterized by pulmonary and abdominal manifestations, is reported in a patient with the acquired immunodeficiency syndrome, after initiation of treatment with highly active antiretroviral therapy. Paradoxical reaction was attributed to partial restoration of cell-mediated immunity related to highly effective antiretroviral therapy. Because tuberculosis has a high prevalence in HIV patients and tuberculosis is often characterized by miliary spreading of disease in these patients, it is important to recognize this phenomenon.
authors.affiliation: Department of Radiology, General Hospital Sint-Lucas, Groenebriel 1, 9000, Ghent, Belgium. adelard.debacker@skynet.be
authors.forename: A I
authors.initials: AI
authors.lastname: De Backer
authors.forename: K J
authors.initials: KJ
authors.lastname: Mortelé
authors.forename: P
authors.initials: P
authors.lastname: Bomans
authors.forename: B L
authors.initials: BL
authors.lastname: De Keulenaer
authors.forename: I J
authors.initials: IJ
authors.lastname: Vanschoubroeck
authors.forename: M M
authors.initials: MM
authors.lastname: Kockx
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D023241:Antiretroviral Therapy, Highly Active / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D014391:Tuberculosis, Miliary / Q000000981:diagnostic imaging* / Q000276:immunology*; D014397:Tuberculosis, Pulmonary / Q000000981:diagnostic imaging* / Q000276:immunology*
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