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KMID : 1103720180790060359
Journal of the Korean Society of Radiology
2018 Volume.79 No. 6 p.359 ~ p.364
Paradoxical Cryptococcal Meningitis Immune Reconstitution Inflammatory Syndrome in a Patient with Human Immunodeficiency Virus Infection: Matching Clinical Findings with MRI Findings
Moon Sung-Jun

Hahm Myong-Hun
Abstract
There are two forms of cryptococcal meningitis immune reconstitution inflammatory syndrome (CM-IRIS): paradoxical CM-IRIS and unmasking CM-IRIS. It is important to distinguish paradoxical CM-IRIS and CM relapse because mortality of CM-IRIS is higher than that of CM without IRIS, and paradoxical CM-IRIS and CM relapse requires different treatment. We report a case of paradoxical CM-IRIS that well matches the clinical findings with MR findings during three years follow-up of a HIV infected patient and new MRI finding is also introduced to help distinguish them.
KEYWORD
Human Immunodeficiency Virus, Acquired Immune Deficiency Syndrome, Antiretroviral Therapy, Highly Active, Cryptococcal Meningitis, Immune Reconstitution Inflammatory Syndrome
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