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Paradoxical recurrent meningitis following therapy of cryptococcal meningitis: an immune reconstitution syndrome after initiation of highly active antiretroviral therapy
被引:51
作者:
King, MD
[1
]
Perlino, CA
[1
]
Cinnamon, J
[1
]
Jernigan, JA
[1
]
机构:
[1] Emory Univ, Sch Med, Div Infect Dis, Atlanta, GA 30303 USA
关键词:
cryptococcal meningitis;
immune reconstitution;
AIDS;
highly active antiretroviral therapy;
D O I:
10.1258/095646202760326516
中图分类号:
R392 [医学免疫学];
Q939.91 [免疫学];
学科分类号:
100102 ;
摘要:
We report a case of paradoxical recurrent meningitis in response to initiation of highly active antiretroviral therapy in a patient receiving maintenance fluconazole for a previous diagnosis of cryptococcal meningitis. We describe the unusual radiographic and histopathologic findings which are consistent with an immune reconstitution induced paradoxical inflammatory response to residual cryptococcal infection.
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页码:724 / 726
页数:3
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