Paradoxical Cryptococcal Meningitis Immune Reconstitution Inflammatory Syndrome in a Patient with Human Immunodeficiency Virus Infection: Matching Clinical Findings with MRI Findings
10.3348/jksr.2018.79.6.359
- Author:
Sungjun MOON
1
;
Myong Hun HAHM
Author Information
1. Department of Radiology, Kyungpook National University Hospital, Daegu, Korea.
- Publication Type:Case Report
- From:Journal of the Korean Radiological Society
2018;79(6):359-364
- CountryRepublic of Korea
- Language:English
-
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.
