Paradoxical Tuberculosis Immune Reconstitution Inflammatory Syndrome Complicated by Large Bilateral Psoas Abscess: A Case Report

被引：0

作者：

Castilla-Encinas, Adriam M. ^{[1
]}

Salas, Valeria Rocio Soto ^{[2
]}

Alvarez-Delgado, Hugo ^{[1
]}

Bocanegra-Becerra, Jhon E. ^{[3
]}

Rondan, Paola L. ^{[4
]}

机构：

[1] Univ Nacl Mayor San Marcos, Soc Cient San Fernando, Lima 506, Peru

[2] Univ Nacl Mayor San Marcos, Lima, Peru

[3] Univ Peruana Cayetano Heredia, Sch Med, Acad Dept Surg, Lima, Peru

[4] Univ Nacl Mayor San Marcos, Inst Med Trop Daniel A Carrion, Lima, Peru

来源：

JOURNAL OF THE INTERNATIONAL ASSOCIATION OF PROVIDERS OF AIDS CARE | 2024年 / 23卷

关键词：

immune reconstitution inflammatory syndrome; tuberculosis; psoas abscess; HIV; antiretroviral therapy;

D O I：

10.1177/23259582241293302

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

Immune reconstitution inflammatory syndrome is a common manifestation in human immunodeficiency virus (HIV)-positive patients infected with tuberculosis (TB). One of the unusual complications of this condition is the development of psoas abscess. We describe a case of immune reconstitution inflammatory syndrome (IRIS) in a patient with disseminated TB under treatment, HIV-positive with a low CD4 cell count, complicated by bilateral psoas abscess. Our patient presented with fever, abdominal pain, and lymphadenopathy, typical symptoms of TB-IRIS. Diagnosis was confirmed by surgical drainage of the abscess of the right iliac psoas muscle with detection of acid-fast bacteria on Ziehl-Neelsen staining and negative culture of purulent discharge. Treatment with prednisone was started in addition to continuation of antituberculosis therapy and antiretroviral therapy.

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