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Ryan K Dean¹, Rogin Subedi¹, Ashraya Karkee¹

¹Department of Medicine, State University of New York Upstate Medical University, Syracuse, New York.

Proceedings (Baylor University. Medical Center)

|June 16, 2018

Abstract:

Chylous ascites is an uncommon finding of triglyceride-rich lymph in the peritoneal cavity. There are a variety of reported etiologies for chylous ascites; however, the reporting of chylous ascites among AIDS/HIV-positive patients is quite uncommon. This finding as a complication of immune reconstitution inflammatory syndrome is even more unusual. Here we report a case of an HIV-positive man with a history of colonic Mycobacterium avium complex who developed chylous ascites in the setting of increasing CD4 counts and decreasing viral load, suggestive of immune reconstitution inflammatory syndrome.

Keywords:

Chylous ascites Mycobacterium avium complex immune reconstitution inflammatory syndrome opportunistic infections

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