PMID- 23681897
OWN - NLM
STAT- MEDLINE
DCOM- 20140108
LR  - 20130517
IS  - 1439-7803 (Electronic)
IS  - 0044-2771 (Linking)
VI  - 51
IP  - 5
DP  - 2013 May
TI  - Manifestation of an abdominal immune reconstitution inflammatory syndrome 
      associated with a nontuberculous mycobacterial infection - a case report.
PG  - 440-3
LID - 10.1055/s-0033-1335012 [doi]
AB  - Immune reconstitution inflammatory syndrome (IRIS) is an inflammatory reaction in 
      HIV-infected patients after initiation of antiretroviral therapy. It results from 
      restored immunity to specific infectious or non-infectious antigens. We describe 
      the case of a 47-year-old female patient who presented with an unspecific painful 
      pressure in the abdomen and weight loss that was diagnosed as intra-abdominal 
      (unmasking) IRIS due to nontuberculous mycobacterial infection (Mycobacterium 
      avium complex). Antiretroviral therapy had been initiated six months earlier when 
      pneumocystis pneumonia led to the diagnosis of HIV infection with a viral load of 
      123 000 copies/ml and a CD 4 cell count of 6/microl. Although IRIS is a known 
      complication after initiation of antiretroviral therapy in HIV-infected patients 
      this case with a rare site of manifestation and symptoms that are common in all 
      day gastroenterological clinic highlights a differential diagnosis that requires 
      a high index of suspicion and the need for the careful use of diagnostic tools.
CI  - (c) Georg Thieme Verlag KG Stuttgart . New York.
FAU - Meier, B
AU  - Meier B
AD  - Gastroenterologie, Klinikum Ludwigsburg, 71640 Ludwigsburg. 
      benjamin.meier@kliniken-lb.de
FAU - Schmidt, A
AU  - Schmidt A
FAU - Kalmar, G
AU  - Kalmar G
FAU - Caca, K
AU  - Caca K
FAU - Wagner, D
AU  - Wagner D
LA  - eng
PT  - Journal Article
DEP - 20130516
PL  - Germany
TA  - Z Gastroenterol
JT  - Zeitschrift fur Gastroenterologie
JID - 0033370
SB  - IM
MH  - Abdominal Pain/*diagnosis/microbiology
MH  - Diagnosis, Differential
MH  - Female
MH  - HIV Infections/diagnosis/microbiology
MH  - Humans
MH  - Immune Reconstitution Inflammatory Syndrome/*diagnosis/*microbiology
MH  - Middle Aged
MH  - Mycobacterium Infections/*diagnosis/*microbiology
MH  - Tuberculosis/diagnosis/microbiology
EDAT- 2013/05/18 06:00
MHDA- 2014/01/09 06:00
CRDT- 2013/05/18 06:00
PHST- 2013/05/18 06:00 [entrez]
PHST- 2013/05/18 06:00 [pubmed]
PHST- 2014/01/09 06:00 [medline]
AID - 10.1055/s-0033-1335012 [doi]
PST - ppublish
SO  - Z Gastroenterol. 2013 May;51(5):440-3. doi: 10.1055/s-0033-1335012. Epub 2013 May 
      16.