PMID- 34558476 OWN - NLM STAT- MEDLINE DCOM- 20211015 LR - 20211015 IS - 2212-554X (Electronic) IS - 2212-5531 (Linking) VI - 10 IP - 2 DP - 2021 Apr-Jun TI - Rare manifestation of ocular immune reconstitution inflammatory syndrome from mycobacterium scrofulaceum infection in a patient with AIDS. PG - 202-205 LID - 10.4103/ijmy.ijmy_63_21 [doi] AB - Immune reconstitution inflammatory syndrome (IRIS) is a common complication following the initiation of antiretroviral therapy (ART). The most commonly associated pathogens include Mycobacterium tuberculosis and Cryptococcus spp.([1]) IRIS following nontuberculosis mycobacteria (NTM) infection is uncommon, particularly, IRIS following NTM conjunctivitis.([2]) Herein, we present a case of Mycobacterium scrofulaceum conjunctivitis with peripheral ulcerative keratitis and orbital cellulitis in a 45-year-old patient with AIDS who developed IRIS 1 month after starting ART therapy. A combination of both systemic and topical antibiotics together with corticosteroids were used and resulted in a satisfactory outcome with no early recurrence. This case demonstrated a rare ocular IRIS manifestation involving both the external eye and orbit and to the author's knowledge is the first case in the literature in which M. scrofulaceum has been found to be involved in the eye. FAU - Jiamjunkupt, Thanin AU - Jiamjunkupt T AD - Department of Medicine, Division of Infectious Diseases, Phramongkutklao Hospital, Bangkok, Thailand. FAU - Sasiprapha, Nathamon AU - Sasiprapha N AD - Department of Ophthalmology, Phramongkutklao Hospital, Bangkok, Thailand. FAU - Changpradub, Dhitiwat AU - Changpradub D AD - Department of Medicine, Division of Infectious Diseases, Phramongkutklao Hospital, Bangkok, Thailand. FAU - Choontanom, Raveewan AU - Choontanom R AD - Department of Ophthalmology, Phramongkutklao Hospital, Bangkok, Thailand. FAU - Sansanayudh, Wiwan AU - Sansanayudh W AD - Department of Ophthalmology, Phramongkutklao Hospital, Bangkok, Thailand. LA - eng PT - Case Reports PL - India TA - Int J Mycobacteriol JT - International journal of mycobacteriology JID - 101615660 SB - IM MH - *Acquired Immunodeficiency Syndrome/complications MH - *HIV Infections/complications/drug therapy MH - Humans MH - *Immune Reconstitution Inflammatory Syndrome/complications MH - Middle Aged MH - *Mycobacterium Infections MH - Mycobacterium scrofulaceum OTO - NOTNLM OT - HIV OT - Mycobacterium scrofulaceum OT - immune reconstitution inflammatory syndrome OT - nontuberculosis mycobacteria conjunctivitis COIS- None EDAT- 2021/09/25 06:00 MHDA- 2021/10/16 06:00 CRDT- 2021/09/24 08:45 PHST- 2021/09/24 08:45 [entrez] PHST- 2021/09/25 06:00 [pubmed] PHST- 2021/10/16 06:00 [medline] AID - IntJMycobacteriol_2021_10_2_202_318385 [pii] AID - 10.4103/ijmy.ijmy_63_21 [doi] PST - ppublish SO - Int J Mycobacteriol. 2021 Apr-Jun;10(2):202-205. doi: 10.4103/ijmy.ijmy_63_21.