Kawasaki-like syndrome possibly associated with immune reconstitution inflammatory syndrome in an HIV-positive patient.

The occurrence of Kawasaki disease is unusual in adults. We report a Kawasaki-like syndrome in a middle-aged HIV-positive man who had recently begun effective antiretroviral therapy. Onset of a significant inflammatory response after initiation of antiretroviral therapy prompted a diagnosis of Kawasaki-like syndrome associated with immune reconstitution inflammatory syndrome.