Initial description of immune reconstitution inflammatory syndrome involving the thyroid gland in an immunocompromised patient.
Abscess formation in the thyroid gland is particularly a rare phenomenon and presents a medical and surgical dilemma especially in HIV seropositive patients. The authors report a case of a paradoxical tuberculous abscess immune reconstitution inflammatory syndrome involving the thyroid gland in a 37-year-old woman who presented 12 weeks after initiation of antiretroviral therapy at the Infectious Diseases Institute, Kampala, Uganda. The patient is still undergoing treatment.
Department of Prevention, Counselling and Treatment, Makerere University, College of Health Sciences, Infectious Diseases Institute, Kampala, Uganda. katutina@yahoo.com
Christine
C
Katusiime
Ponsiano
P
Ocama
Andrew
A
Kambugu
D000038:Abscess / Q000175:diagnosis* / Q000276:immunology; D000328:Adult; D023241:Antiretroviral Therapy, Highly Active / Q000009:adverse effects*; D005260:Female; D015658:HIV Infections / Q000150:complications / Q000188:drug therapy* / Q000276:immunology; D006801:Humans; D054019:Immune Reconstitution Inflammatory Syndrome / Q000150:complications / Q000175:diagnosis* / Q000276:immunology; D016867:Immunocompromised Host; D013959:Thyroid Diseases / Q000175:diagnosis* / Q000276:immunology; D014376:Tuberculosis / Q000175:diagnosis* / Q000276:immunology