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Cryptococcal Disease in the Era of "Test and Treat": Is There Cause for Concern?
Mahsa Abassi1,2, Joshua Rhein1,2, David B Meya1,2,3
1Infectious Diseases Institute, Kampala, Uganda.
Abstract:
Treatment of cryptococcosis requires deferred initiation of antiretroviral therapy (ART). Early ART initiation may be detrimental in the context of cryptococcal infection by increasing the risk of immune reconstitution inflammatory syndrome (IRIS). We present 3 cases where early ART initiation in the presence of unrecognized cryptococcal disease had fatal outcomes.
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