Abstract
Highly active antiretroviral therapy for AIDS sometimes engenders inflammatory manifestations resulting from an inappropriate and unbalanced immune-system restoration, called Immune Reconstitution inflammatory Syndrome, which, in turn, can unmask a subclinical infection/pathology. Despite our patient's evident syndrome, the atypical clinical, microbiologic and radiologic feature of Pneumocystis pneumonia made its diagnosis difficult.
Keywords:
HAART; HIV; Pneumocystis jiroveci; immune restoration inflammatory syndrome (IRIS); unmasking.
MeSH terms
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Acute Disease
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Adult
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Antiretroviral Therapy, Highly Active / adverse effects*
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Female
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Humans
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Hypoxia / diagnostic imaging
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Hypoxia / etiology*
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Hypoxia / microbiology
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Immune Reconstitution Inflammatory Syndrome / diagnostic imaging
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Immune Reconstitution Inflammatory Syndrome / etiology*
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Lung Diseases, Interstitial / diagnostic imaging
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Lung Diseases, Interstitial / etiology*
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Lung Diseases, Interstitial / microbiology
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Pneumocystis carinii / physiology*
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Pneumonia, Pneumocystis / diagnostic imaging
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Pneumonia, Pneumocystis / etiology*
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Pneumonia, Pneumocystis / microbiology
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Radiographic Image Enhancement
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Tomography, X-Ray Computed