An AIDS patient with immune reconstitution inflammatory syndrome due to pulmonary Mycobacterium kansasii infection during antiretroviral therapy.
After the recovery of pneumocystis pneumonia, amebiasis, and cytomegalovirus duodenal ulcer in a patient with AIDS, antiretroviral therapy was initiated. Fever was first noted on the 11th day of administration of the highly active antiretroviral therapy (HAART), and chest radiography showed infiltration into the right lower lobe of the lung on the 19th day. Bronchoscopy was performed, with a tentative diagnosis of pulmonary tuberculosis, but Mycobacterium kansasii was eventually identified. M. kansasii may also be a pathogenic organism causing immune reconstitution inflammatory syndrome.
Department of Pulmonary and Infectious Diseases, Shinshu University Hospital, Matsumoto, Japan.
Michiko
M
Ito
Yoshimichi
Y
Komatsu
Atsuhito
A
Ushiki
Yoshitaka
Y
Yamazaki
Keishi
K
Kubo
D017088:AIDS-Related Opportunistic Infections / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000382:microbiology; D000163:Acquired Immunodeficiency Syndrome / Q000188:drug therapy*; D000328:Adult; D044966:Anti-Retroviral Agents / Q000009:adverse effects* / Q000627:therapeutic use; D023241:Antiretroviral Therapy, Highly Active / Q000009:adverse effects; D006801:Humans; D054019:Immune Reconstitution Inflammatory Syndrome / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000382:microbiology; D008168:Lung / Q000000981:diagnostic imaging / Q000382:microbiology; D008297:Male; D009165:Mycobacterium Infections, Nontuberculous / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000382:microbiology; D019909:Mycobacterium kansasii / Q000302:isolation & purification*; D014057:Tomography, X-Ray Computed
D044966:Anti-Retroviral Agents