title: Tuberculoid leprosy and cytomegalovirus retinitis as immune restoration disease in a patient with AIDS.
abstract: Here we report a unique case of tuberculoid leprosy and cytomegalovirus retinitis in a 27-year-old female patient with AIDS, suggestive of highly active antiretroviral therapy (HAART)-induced immune restoration disease. After initiation of HAART, the patient presented with decreased visual acuity, hypoesthetic patch with local nerve thickening, and an increase in her CD4+ T cell count. On further investigations cytomegalovirus retinitis and tuberculoid leprosy were confirmed. To our knowledge no case with such a co-existence has previously been reported.
authors.affiliation: Department of Tropical Medicine, School of Tropical Medicine, 108, C R Avenue, Kolkata 700073, India. shishirkumar404@gmail.com
authors.forename: Shishir
authors.initials: S
authors.lastname: Kumar
authors.forename: Manab Kumar
authors.initials: MK
authors.lastname: Ghosh
authors.forename: Somenath
authors.initials: S
authors.lastname: Sarkar
authors.forename: Sudeshna
authors.initials: S
authors.lastname: Mallik
authors.forename: Pradyot Narayan
authors.initials: PN
authors.lastname: Biswas
authors.forename: Bibhuti
authors.initials: B
authors.lastname: Saha
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000139:chemically induced / Q000276:immunology / Q000382:microbiology / Q000821:virology; D000163:Acquired Immunodeficiency Syndrome / Q000188:drug therapy* / Q000276:immunology* / Q000382:microbiology / Q000821:virology; D000328:Adult; D023241:Antiretroviral Therapy, Highly Active / Q000009:adverse effects*; D017726:Cytomegalovirus Retinitis / Q000139:chemically induced / Q000276:immunology* / Q000382:microbiology / Q000821:virology; D005260:Female; D006801:Humans; D054019:Immune Reconstitution Inflammatory Syndrome / Q000139:chemically induced / Q000276:immunology* / Q000382:microbiology / Q000821:virology; D015441:Leprosy, Tuberculoid / Q000139:chemically induced / Q000276:immunology* / Q000821:virology