title: Chylous Ascites in a Patient with HIV/AIDS: A Late Complication of Mycobacterium avium Complex-Immune Reconstitution Inflammatory Syndrome.
abstract: Chylous ascites is very rare in HIV/AIDS and its association with Mycobacterium avium complex-immune reconstitution inflammatory syndrome (MAC-IRIS) has been rarely reported. Here, we report a case of a young African-American male who developed chylous ascites as a late sequela to immune reconstitution inflammatory syndrome while on treatment for MAC. Antiretroviral drug-naive patients who start HAART in close proximity to the diagnosis of an opportunistic infection and have a rapid decline in HIV RNA level should be monitored for development of IRIS. Although the long term prognosis is poor, early diagnosis and treatment help to improve quality of life.
authors.affiliation: Department of Internal Medicine, Jersey City Medical Center, 355 Grand Street, Jersey City, NJ 07302, USA.
authors.forename: Imam H
authors.initials: IH
authors.lastname: Shaik
authors.affiliation: Department of Internal Medicine, Jersey City Medical Center, 355 Grand Street, Jersey City, NJ 07302, USA.
authors.forename: Fernando
authors.identifier: 0000-0001-9136-1108
authors.initials: F
authors.lastname: Gonzalez-Ibarra
authors.affiliation: Department of Internal Medicine, Jersey City Medical Center, 355 Grand Street, Jersey City, NJ 07302, USA.
authors.forename: Rumana
authors.initials: R
authors.lastname: Khan
authors.affiliation: Department of Internal Medicine, Jersey City Medical Center, 355 Grand Street, Jersey City, NJ 07302, USA.
authors.forename: Saira
authors.initials: S
authors.lastname: Shah
authors.affiliation: Laureate National Institute of Medicine, Program Director Internal Medicine, Jersey City Medical Center, Jersey City, NJ 07302, USA.
authors.forename: Amer K
authors.initials: AK
authors.lastname: Syed
authors.affiliation: Department of Infectious Diseases, Jersey City Medical Center, 355 Grand Street, Jersey City, NJ 07302, USA.
authors.forename: David
authors.initials: D
authors.lastname: Lintz