Immune reconstitution inflammatory syndrome associated with Pneumocystis pneumonia in a patient with AIDS

被引：1
|
作者：
Wen, Ying [1 ]
Wang, Meng-chan [2 ]
Zhou, Ying [1 ]
Lin, Xu-yong [3 ,4 ]
Hou, Gang [2 ]
Yin, Yan [2 ]
机构：
[1] China Med Univ, Dept Infect Dis, First Hosp, Shenyang, Peoples R China
[2] China Med Univ, Dept Pulm & Crit Care Med, First Hosp, 155 Nanjing St, Shenyang 110001, Liaoning, Peoples R China
[3] First Affiliated Hosp, Dept Pathol, Shenyang, Peoples R China
[4] Coll Basic Med Sci, Shenyang, Peoples R China
来源：
JOURNAL OF INTERNATIONAL MEDICAL RESEARCH | 2020年 / 48卷 / 08期
关键词：
Human immunodeficiency virus; immune reconstitution inflammatory syndrome; endobronchial ultrasound; transbronchial lung biopsy; Pneumocystis jiroveciipneumonia; highly active antiretroviral therapy; ENDOBRONCHIAL ULTRASONOGRAPHY; GUIDE SHEATH; OPPORTUNISTIC INFECTIONS; ANTIRETROVIRAL THERAPY; ADULTS;
D O I：
10.1177/0300060520946544
中图分类号：
R-3 [医学研究方法]; R3 [基础医学];
学科分类号：
1001 ;
摘要：
Immune reconstitution inflammatory syndrome (IRIS) after starting antiretroviral treatment for human immunodeficiency virus (HIV) infection has a wide variety of causes. Delayed diagnosis and treatment of IRIS is fatal. We report a case of a 21-year-old man with HIV infection andPneumocystis jiroveciipneumonia. The patient presented with fever and dyspnea with deterioration of pulmonary infiltrations 5 days after starting antiretroviral treatment. We reached the diagnosis of IRIS based on radial endobronchial ultrasound (EBUS)-guided lung biopsy. In conclusion, radial EBUS-guided lung biopsy via bronchoscopy is a valuable and minimally invasive technique for the rapid diagnosis of IRIS-associatedPneumocystis jiroveciipneumonia.
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页数：6
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