KMID : 1103720180790060359
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Journal of the Korean Society of Radiology 2018 Volume.79 No. 6 p.359 ~ p.364
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Paradoxical Cryptococcal Meningitis Immune Reconstitution Inflammatory Syndrome in a Patient with Human Immunodeficiency Virus Infection: Matching Clinical Findings with MRI Findings
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Moon Sung-Jun
Hahm Myong-Hun
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Abstract
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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.
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KEYWORD
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Human Immunodeficiency Virus, Acquired Immune Deficiency Syndrome, Antiretroviral Therapy, Highly Active, Cryptococcal Meningitis, Immune Reconstitution Inflammatory Syndrome
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