Immune reconstitution inflammatory syndrome manifesting as disseminated tuberculosis, deep venous thrombosis, encephalopathy and myelopathy.
We describe an unusual case of a 25-year-old human immunodeficiency virus (HIV)-positive male with a pre-treatment CD4 count of 144 cells/microL, who had received highly active antiretroviral therapy (HAART) consisting of lamivudine, stavudine and nevirapine for three months, developing immune reconstitution inflammatory syndrome (IRIS) manifesting as disseminated tuberculosis (TB), myelopathy, encephalopathy and deep venous thrombosis (DVT). In addition to HAART and antituberculosis treatment (ATT), the patient was given non-steroidal anti-inflammatory drugs, oral vitamin B12 and heparin, which was later switched to oral warfarin.
Tahir
Mohammad
M
Department of Medicine, All India Institute of Medical Sciences, New Delhi, India.
Sinha
Sanjeev
S
Sharma
S K
SK
Mitsuyasu
Ronald T
RT
D015526:AIDS Dementia Complex / Q000209:etiology; D000163:Acquired Immunodeficiency Syndrome / Q000150:complications* / Q000188:drug therapy; D000328:Adult; D023241:Antiretroviral Therapy, Highly Active; D006801:Humans; D054019:Immune Reconstitution Inflammatory Syndrome / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D008297:Male; D013118:Spinal Cord Diseases / Q000209:etiology; D014376:Tuberculosis / Q000209:etiology; D020246:Venous Thrombosis / Q000209:etiology