| Literature DB >> 22627787 |
Chih-Chin Kao1, Vin-Cent Wu, Hsin-Yun Sun, Che-Hsiung Wu.
Abstract
Cryptococcal-related immune reconstitution inflammatory syndrome (IRIS) is frequently seen in immunocompromised patients. A 45-year-old man with advanced chronic kidney disease (CKD) received intensive antifungal treatment for pulmonary cryptococcosis. Despite negative pleural effusion cultures and declining serum cryptococcal antigen titers, the patient presented with progressive pulmonary infiltration, intermittent fever, and elevated C-reactive protein. Steroids were given for suspected IRIS, and the clinical condition improved dramatically. This is the first report on paradoxical cryptococcal IRIS in a patient with advanced CKD.Entities:
Mesh:
Substances:
Year: 2012 PMID: 22627787 DOI: 10.1007/s11255-012-0196-y
Source DB: PubMed Journal: Int Urol Nephrol ISSN: 0301-1623 Impact factor: 2.370