PMID- 32281599
OWN - NLM
STAT- MEDLINE
DCOM- 20210215
LR  - 20210215
IS  - 0300-5283 (Print)
IS  - 0300-5283 (Linking)
VI  - 75
IP  - 2
DP  - 2020 Mar
TI  - Paradoxical worsening of chest radiographs secondary to immune reconstitution 
      syndrome (IRIS) in a patient with advanced HIV infection and Rhodococcus 
      pneumonia.
PG  - 164-166
AB  - We present a rare case of post-antiretroviral therapy (ART) paradoxically 
      worsening of radiological findings in a patient with advanced HIV-infection on 
      treatment for Rhodococcus pneumonia who was misdiagnosed with pulmonary 
      tuberculosis. Despite clinical improvement, serial chest radiographs showed 
      deteriorations a month after starting ART. This was attributed to Immune 
      Reconstitution Inflammatory Syndrome (IRIS) which spontaneously resolved without 
      any treatment.
FAU - Koh, K C
AU  - Koh KC
AD  - International Medical University, Department of Internal Medicine, Seremban, 
      Negeri Sembilan, Malaysia. kweechoy_koh@imu.edu.my.
FAU - Ibrahim, N M
AU  - Ibrahim NM
AD  - Hospital Sultanah Nur Zahirah, Department of Medicine, Kuala Terengganu, 
      Terengganu, Malaysia.
FAU - Ong, S C L
AU  - Ong SCL
AD  - International Medical University, Department of Internal Medicine, Seremban, 
      Negeri Sembilan, Malaysia.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - Malaysia
TA  - Med J Malaysia
JT  - The Medical journal of Malaysia
JID - 0361547
RN  - 0 (Anti-Retroviral Agents)
SB  - IM
MH  - Actinomycetales Infections/*diagnosis
MH  - Adult
MH  - Anti-Retroviral Agents/*therapeutic use
MH  - Diagnostic Errors
MH  - HIV Infections/*drug therapy
MH  - Humans
MH  - Immune Reconstitution Inflammatory Syndrome/diagnostic imaging/*physiopathology
MH  - Male
MH  - Outcome Assessment, Health Care
MH  - *Radiography, Thoracic
MH  - *Rhodococcus
EDAT- 2020/04/14 06:00
MHDA- 2021/02/16 06:00
CRDT- 2020/04/14 06:00
PHST- 2020/04/14 06:00 [entrez]
PHST- 2020/04/14 06:00 [pubmed]
PHST- 2021/02/16 06:00 [medline]
PST - ppublish
SO  - Med J Malaysia. 2020 Mar;75(2):164-166.