Immune-reconstitution syndrome related to atypical mycobacterial infection in AIDS

被引:4
作者
Berman, Erika J. [1 ]
Iyer, Ramesh S. [1 ]
Addrizzo-Harris, Doreen [2 ]
Ko, Jane P. [1 ]
机构
[1] NYU Med Ctr, Dept Radiol, New York, NY 10016 USA
[2] NYU Med Ctr, Dept Pulm & Crit Care Med, New York, NY 10016 USA
关键词
immune-reconstitution syndrome; atypical mycobacterial infection; computed tomography;
D O I
10.1097/RTI.0b013e3181653c25
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
The immune-reconstitution syndrome is a paradoxical inflammatory response to a preexisting or a coexisting disease, after the initiation of highly active antiretroviral therapy for the human immunodeficiency virus. Infrequently described, the radiographic and computed tomographic findings of the immune-reconstitution syndrome, which is related to the Mycobacterium avium-intracellulare infection and to highly active antiretroviral therapy, are presented in 2 patients. Homogeneous mediastinal and hilar lymphadenopathy were present in both individuals, With one having a large mass accompanied by small nodules.
引用
收藏
页码:182 / 187
页数:6
相关论文
共 35 条
[1]   Early reduction of immune activation in lymphoid tissue following highly active HIV therapy [J].
Andersson, J ;
Fehniger, TE ;
Patterson, BK ;
Pottage, J ;
Agnoli, M ;
Jones, P ;
Behbahani, H ;
Landay, A .
AIDS, 1998, 12 (11) :F123-F129
[2]   Positive effects of combined antiretroviral therapy on CD4(+) T cell homeostasis and function in advanced HIV disease [J].
Autran, B ;
Carcelain, G ;
Li, TS ;
Blanc, C ;
Mathez, D ;
Tubiana, R ;
Katlama, C ;
Debre, P ;
Leibowitch, J .
SCIENCE, 1997, 277 (5322) :112-116
[3]  
Bartley PB, 1999, INT J TUBERC LUNG D, V3, P1132
[4]   Immune reconstitution inflammatory syndrome in HIV-infected patients with mycobacterial infections starting highly active anti-retroviral therapy [J].
Buckingham, SJ ;
Haddow, LJ ;
Shaw, PJ ;
Miller, RF .
CLINICAL RADIOLOGY, 2004, 59 (06) :505-513
[5]   Mycobacterial lymphadenitis after initiation of highly active antiretroviral therapy [J].
Cabié, A ;
Abel, S ;
Brebion, A ;
Desbois, N ;
Sobesky, G .
EUROPEAN JOURNAL OF CLINICAL MICROBIOLOGY & INFECTIOUS DISEASES, 1998, 17 (11) :812-813
[6]   Concurrent granulomatous Pneumocystis carinii and Mycobacterium xenopi pneumonia:: an unusual manifestation of HIV immune reconstitution disease [J].
Chen, F ;
Sethi, G ;
Goldin, R ;
Wright, AR ;
Lacey, CJ .
THORAX, 2004, 59 (11) :997-999
[7]  
Crum Nancy F, 2005, AIDS Read, V15, P186
[8]   Tuberculous adenitis:: comparison of CT and MRI findings with histopathological features [J].
De Backer, A. I. ;
Mortele, K. J. ;
Van Den Heuvel, E. ;
Vanschoubroeck, I. J. ;
Kockx, M. M. ;
de Vyvere, M. Van .
EUROPEAN RADIOLOGY, 2007, 17 (04) :1111-1117
[9]   Treatment of Mycobacterium avium complex immune reconstitution disease in HIV-1-infected individuals [J].
DeSimone, JA ;
Babinchak, TJ ;
Kaulback, KR ;
Pomerantz, RJ .
AIDS PATIENT CARE AND STDS, 2003, 17 (12) :617-622
[10]   Pulmonary nontuberculous mycobacterial infection: Radiologic manifestations [J].
Erasmus, JJ ;
McAdams, HP ;
Farrell, MA ;
Patz, EF .
RADIOGRAPHICS, 1999, 19 (06) :1487-1503