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Paradoxical Immune Reconstitution Inflammatory Syndrome Presenting as Extrapulmonary Tuberculosis in a Patient With
Wendy Shang1, Tony F Bruno1,2
1Department of Biomedical Education, California Health Sciences University College of Osteopathic Medicine, Clovis, USA.
Immune reconstitution inflammatory syndrome (IRIS) can cause infections to worsen during immune recovery. This case highlights paradoxical TB-IRIS in an HIV-positive patient with tuberculosis restarting highly active antiretroviral therapy (HAART).
Area of Science:
- Immunology
- Infectious Diseases
- Public Health
Background:
- Immune reconstitution inflammatory syndrome (IRIS) is a hyperinflammatory response during immune recovery in immunocompromised individuals.
- Paradoxical IRIS involves the worsening of a pre-existing infection, while unmasking IRIS reveals a previously undiagnosed infection.
- Patients with advanced HIV disease coinfected with tuberculosis (TB) face a high risk of IRIS when initiating highly active antiretroviral therapy (HAART).
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