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.

Cureus
|February 5, 2026
PubMed
Summary

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).

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