PMID- 18853879 OWN - NLM STAT- MEDLINE DCOM- 20090108 LR - 20081015 IS - 0300-0729 (Print) IS - 0300-0729 (Linking) VI - 46 IP - 3 DP - 2008 Sep TI - A frontal mucocele caused by an immune reconstitution inflammatory syndrome in a patient with HIV infection. PG - 243-5 AB - We describe a 55-year-old bisexual Belgian man with a multi-drug resistant HIV infection who developed an Immune Reconstitution Inflammatory Syndrome (IRIS) presenting as a mucocele of the frontal sinus, one year after starting a new effective darunavir containing antiretroviral treatment regimen. His CD4+ lymphocyte count had increased from 3 cells/mm3 prior to the start of the latter treatment to 196 cells/mm3 just before he developed the IRIS phenomenon. IRIS is a paradoxical clinical deterioration during highly active antiretroviral treatment (HAART), due to an exaggerated immune-inflammatory reaction. With the increasing numbers of persons living with HIV infection and the increased use of HAART it is expected that in the future more otolaryngological manifestations of IRIS will be detected. FAU - Colebunders, B AU - Colebunders B AD - University of Antwerp, Antwerp, Belgium. bcoleb@itg.be FAU - Claes, G AU - Claes G FAU - Vlieghe, E AU - Vlieghe E FAU - Demeester, R AU - Demeester R FAU - Moerman, F AU - Moerman F FAU - Colebunders, R AU - Colebunders R LA - eng PT - Case Reports PT - Journal Article PL - Netherlands TA - Rhinology JT - Rhinology JID - 0347242 SB - IM MH - Antiretroviral Therapy, Highly Active/*adverse effects MH - CD4 Lymphocyte Count MH - HIV Infections/*drug therapy MH - Humans MH - Immune Reconstitution Inflammatory Syndrome/*chemically induced/diagnosis/immunology MH - Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - Mucocele/*chemically induced/diagnosis/immunology MH - Paranasal Sinus Diseases/*chemically induced/diagnosis/immunology EDAT- 2008/10/16 09:00 MHDA- 2009/01/09 09:00 CRDT- 2008/10/16 09:00 PHST- 2008/10/16 09:00 [pubmed] PHST- 2009/01/09 09:00 [medline] PHST- 2008/10/16 09:00 [entrez] PST - ppublish SO - Rhinology. 2008 Sep;46(3):243-5.