PMID- 23803566 OWN - NLM STAT- MEDLINE DCOM- 20140422 LR - 20160517 IS - 2325-9574 (Print) IS - 2325-9574 (Linking) VI - 13 IP - 1 DP - 2014 Jan-Feb TI - Recurrent immune reconstitution inflammatory syndrome of tuberculous brain infection in people living with HIV/AIDS: a case report. PG - 15-7 LID - 10.1177/2325957413488170 [doi] AB - HIV infection has changed the scenario of infectious disease. HIV-associated immunodeficiency resulted in a wide spectrum of new opportunistic infections. After introduction of antiretroviral therapy (ART), immune reconstitution inflammatory syndrome (IRIS) became an important challenge in management of 10% to 25% of the patients. Meta-analyses of IRIS from various reports published worldwide by Monika Muller et al described 12% IRIS incidence and 15.7% IRIS tuberculosis. Among IRIS tuberculosis, central nervous system involvement with IRIS tuberculous meningitis forms only 7%. Only 9 cases of tuberculous brain abscess is reported in patients with AIDS so far. The IRIS tuberculous brain abscess is very rare, and so far only 1 case is reported as a paradoxical reaction after ART initiation. Here, we report a case of recurrent IRIS tuberculosis meningitis and brain abscess. FAU - Krishnaraj, Raja AU - Krishnaraj R AD - Government Hospital of Thoracic Medicine, GST Road, Tambaram, Chennai, Tamil Nadu, India. FAU - Chokkalingam, Chandrasekar AU - Chokkalingam C FAU - Krishnarajasekhar, O R AU - Krishnarajasekhar OR FAU - Narayanan, Ravichandran AU - Narayanan R FAU - Sadagopan, Kumar AU - Sadagopan K FAU - Ayyamperumal, Mahilmaran AU - Ayyamperumal M LA - eng PT - Case Reports PT - Journal Article DEP - 20130626 PL - United States TA - J Int Assoc Provid AIDS Care JT - Journal of the International Association of Providers of AIDS Care JID - 101603896 RN - 0 (Anti-Retroviral Agents) RN - 0 (Antitubercular Agents) SB - IM MH - AIDS-Related Opportunistic Infections/*immunology/*microbiology/virology MH - Acquired Immunodeficiency Syndrome/*immunology/microbiology MH - Adult MH - Anti-Retroviral Agents/therapeutic use MH - Antitubercular Agents/therapeutic use MH - HIV Infections/*immunology/microbiology MH - Humans MH - Immune Reconstitution Inflammatory Syndrome/*microbiology/virology MH - Male MH - Tomography, X-Ray Computed MH - Tuberculoma, Intracranial/immunology/*virology OTO - NOTNLM OT - immune reconstitution inflammatory syndrome OT - opportunistic infections OT - paradoxical reaction OT - tuberculous brain abscess EDAT- 2013/06/28 06:00 MHDA- 2014/04/23 06:00 CRDT- 2013/06/28 06:00 PHST- 2013/06/28 06:00 [entrez] PHST- 2013/06/28 06:00 [pubmed] PHST- 2014/04/23 06:00 [medline] AID - 2325957413488170 [pii] AID - 10.1177/2325957413488170 [doi] PST - ppublish SO - J Int Assoc Provid AIDS Care. 2014 Jan-Feb;13(1):15-7. doi: 10.1177/2325957413488170. Epub 2013 Jun 26.