An unusual cause of chest pain: Mycobacterium avium complex and the immune reconstitution inflammatory syndrome

Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine
Richard J Lin, Jie Song

Abstract

The HIV-associated immune reconstitution inflammatory syndrome usually manifests as new infections or worsening of pre-existing infections during the first few months of initiating anti-retroviral therapy. It is commonly associated with local or systemic inflammation, presumably due to rapid reconstitution of host immune system. Here we describe a unique case of the immune reconstitution inflammatory syndrome presenting as acute pericarditis and pericardial effusion caused by mycobacterium avium complex. We also demonstrate that judicious use of steroids, along with pathogen specific antimicrobial therapy, can prevent local complications of the inflammatory response.

References

Oct 19, 2005·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Peter PhillipsJulio Montaner
Jan 5, 2006·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·I RatnamP J Easterbrook
Oct 17, 2007·Journal of Translational Medicine·James RiddellPowel H Kazanjian
Apr 7, 2009·Journal of Computer Assisted Tomography·Christine G NunweilerNestor L Müller

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Citations

Nov 6, 2015·Transplant Infectious Disease : an Official Journal of the Transplantation Society·J FadlallahO Lortholary
Aug 24, 2013·International Journal of STD & AIDS·Tara M BabuPanupong Larppanichpoonphol

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