Paradoxical recurrent meningitis following therapy of cryptococcal meningitis: an immune reconstitution syndrome after initiation of highly active antiretroviral therapy-Reference-Cited by-同舟云学术

Paradoxical recurrent meningitis following therapy of cryptococcal meningitis: an immune reconstitution syndrome after initiation of highly active antiretroviral therapy

Published:2002-10-01 Issue:10 Volume:13 Page:724-726
ISSN:0956-4624
Container-title:International Journal of STD & AIDS
language:en
Short-container-title:Int J STD AIDS

Author:

King Mark D¹,Perlino Carl A²,Cinnamon Jay³,Jernigan John A⁴

Affiliation:

1. Emory University School of Medicine, Division of Infectious Diseases, Atlanta, GA, USA

2. Emory University School of Medicine, Division of Infectious Diseases, Atlanta

3. Department of Radiology, Atlanta

4. Emory University School of Medicine, Division of Infectious Diseases, Atlanta; Centers for Disease Control and Prevention. Division of Healthcare Quality and Promotion, Atlanta, GA, USA

Abstract

We report a case of paradoxical recurrent meningitis in response to initiation of highly active antiretroviral therapy in a patient receiving maintenance fluconazole for a previous diagnosis of cryptococcal meningitis. We describe the unusual radiographic and histopathologic findings which are consistent with an immune reconstitution induced paradoxical inflammatory response to residual cryptococcal infection.

Publisher

SAGE Publications

Subject

Infectious Diseases,Pharmacology (medical),Public Health, Environmental and Occupational Health,Dermatology

Link

http://journals.sagepub.com/doi/pdf/10.1258/095646202760326516

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