Paradoxical Progressive Multifocal Leukoencephalopathy With Immune Reconstitution Inflammatory Syndrome in a Patient

Ibtisam A Ibrahim1,2, Priscila Lopez1,2, Vel Sivapalan1,2

  • 1Infectious Diseases, NYC Health + Hospitals/Harlem, New York, USA.

Cureus
|October 23, 2025
PubMed
Summary

This case study highlights managing paradoxical Progressive Multifocal Leukoencephalopathy (PML) and Immune Reconstitution Inflammatory Syndrome (IRIS) in an AIDS patient restarting antiretroviral therapy (ART). Prompt treatment with steroids and ART led to significant patient improvement.