CASE REPORT |
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Year : 2014 | Volume
: 2
| Issue : 2 | Page : 65-68 |
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Tuberculosis-immune reconstitution inflammatory syndrome
Vikas Mishra1, Rishit Harbada1, Akhilesh Sharma1, Sunil Narute2
1 Department of Medicine, Bombay Hospital Institute of Medical Sciences and Research, Mumbai, Maharashtra, India 2 Department of Chest Medicine and T.B, Bombay Hospital Institute of Medical Sciences and Research, Mumbai, Maharashtra, India
Correspondence Address:
Vikas Mishra Department of Medicine, Bombay Hospital Institute of Medical Sciences and Research, Mumbai 400 020, Maharashtra India
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DOI: 10.4103/2321-9157.159973
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The characteristic hallmark of immune reconstitution inflammatory syndromes (IRIS) is paradoxical worsening of an existing infection or disease process or appearance of a new infection/disease process soon after initiation of therapy. In view of the overlapping symptoms, its nonspecific nature and a challenging obscurity of diagnosis, a multidimensional diagnostic approach is suggested. We report a case of paradoxical tuberculosis IRIS hidden behind other nonopportunistic infections such as dengue, malaria, and urinary tract infection in a patient with acquired immunodeficiency syndrome.
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