PMID- 18480657
OWN - NLM
STAT- MEDLINE
DCOM- 20080624
LR  - 20080523
IS  - 0002-9629 (Print)
IS  - 0002-9629 (Linking)
VI  - 335
IP  - 5
DP  - 2008 May
TI  - Acute peritonitis as presentations of tuberculosis-associated immune 
      reconstitution inflammatory syndrome in an HIV-infected man.
PG  - 387-9
LID - 10.1097/MAJ.0b013e318149e6de [doi]
AB  - Immune reconstitution inflammatory syndrome (IRIS) is particularly observed after 
      the start of therapy for pathogenic antigens in patients infected with human 
      immunodeficiency virus (HIV) and receiving highly active antiretroviral therapy 
      (HAART). Although tuberculosis (TB)-associated IRIS is the most common form, its 
      presentation as a primary feature of acute peritonitis is extraordinarily rare. 
      We report a 43-year-old man diagnosed with acquired immunodeficiency syndrome and 
      pulmonary TB coinfection. His symptoms, sputum quantity, and chest radiologic 
      appearance improved markedly after 3 weeks of antituberculous therapy, and HAART 
      was initiated on the fourth week. However, acute abdomen with peritoneal signs 
      resulting from the established tuberculous peritonitis developed on the seventh 
      day of HAART. His clinical symptoms resolved after maintenance of HAART and 
      antituberculous regimens. Tuberculous peritonitis must be considered in the 
      differential diagnosis of acute abdomen in HIV-infected patients on antiviral 
      therapy, especially in patients with known underlying TB. Early recognition of 
      IRIS is important when managing HIV-infected patients with opportunistic 
      infections.
FAU - Wu, Shih-Wei
AU  - Wu SW
AD  - Division of Pulmonary and Critical Care Medicine, Department of Medicine, 
      Division of Infectious Diseases and Tropical Medicine, Tri-Service General 
      Hospital, Taipei, Taiwan, Republic of China.
FAU - Chen, Cheng-Jueng
AU  - Chen CJ
FAU - Lin, Te-Yu
AU  - Lin TY
FAU - Wang, Ning-Chi
AU  - Wang NC
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Am J Med Sci
JT  - The American journal of the medical sciences
JID - 0370506
SB  - IM
MH  - AIDS-Related Opportunistic Infections/*complications/immunology
MH  - Acute Disease
MH  - Adult
MH  - Antiretroviral Therapy, Highly Active/*adverse effects
MH  - HIV Infections/drug therapy
MH  - Humans
MH  - Male
MH  - Peritonitis/*etiology
MH  - Systemic Inflammatory Response Syndrome/*etiology
MH  - Tuberculosis/*complications/immunology
EDAT- 2008/05/16 09:00
MHDA- 2008/06/25 09:00
CRDT- 2008/05/16 09:00
PHST- 2008/05/16 09:00 [pubmed]
PHST- 2008/06/25 09:00 [medline]
PHST- 2008/05/16 09:00 [entrez]
AID - S0002-9629(15)32307-7 [pii]
AID - 10.1097/MAJ.0b013e318149e6de [doi]
PST - ppublish
SO  - Am J Med Sci. 2008 May;335(5):387-9. doi: 10.1097/MAJ.0b013e318149e6de.