A Case of TB-IRIS in a 32 year old male living with HIV / Edmund Rey M. Gagam.

Contributor(s):

Gagam, Edmund Rey M., MD [author]

Language: english Publication details: Fairview, Quezon City: Department of Internal Medicine, FEU-NMRF, 2020.Description: photos; (in folder) with CD (soft copy)Content type:

text

Media type:

unmediated

Carrier type:

volume

LOC classification:

MED 2020 0005

Summary: Abstract: The use of Anti-Retroviral therapy for patients diagnosed with HIV-AIDS has been their only ticket for survival since the advent of the disease. Apparently, for some who have been using these medications and diagnosed of Tuberculosis with concurrent intake Anti-Koch's medication will cause an initiation of a syndrome called Immune Reconstitution Inflammatory Syndrome or I.R.I.S. This is a case of a 32 year old male who is an HIV positive for 11 years who presented with multiple fluctuant, palpable masses located at the bilateral axillary area and right supraclavicular area which were noted to increase in size upon initiation of Ant-Koch's medication. The patient was admitted and worked up, underwent incision and drainage with biopsy of masses. Upon histopathology, it revealed Chronic Granulomatous inflammation which is highly suggestive for tuberculosis. Anti-Koch'smedication was continued and low dose steroid was initiated to which the patient was responsive and was then eventually discharged improved. Follow up and counseling of the patient is highly recommended as Tuberculosis in an HIV patient is already an AIDS defining illness which suggests a low CD4+ count.

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Item type	Current library	Call number	Status	Notes	Date due	Barcode
Room Use	Far Eastern University - Nicanor Reyes Medical Foundation Research	MED 2020 0005 (Browse shelf(Opens below))	Available	with CD (soft copy)		R000967

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Previous	MED 2020 0002 A Case of caudate nucleus hemorrhage in a 35 year old male /	MED 2020 0003 A Case of a 56 year-old male with primary cutaneous CD30+ anaplastic large cell lymphoma - a case report /	MED 2020 0004 A Case of a 27 year-old female with recurrent pancreatitis due to hypertriglyceridemia /	MED 2020 0005 A Case of TB-IRIS in a 32 year old male living with HIV /	MED 2020 0006 A Rare case of guillain barre syndrome AMSAN variant /	MED 2020 0007 A Rare case of a 34-year-olf male with epiploic appendagitis /	MED 2020 0008 A Rare case of a 33-year-old male with CNS toxoplasmosis /	Next

Includes bibliographical references.

Abstract: The use of Anti-Retroviral therapy for patients diagnosed with HIV-AIDS has been their only ticket for survival since the advent of the disease. Apparently, for some who have been using these medications and diagnosed of Tuberculosis with concurrent intake Anti-Koch's medication will cause an initiation of a syndrome called Immune Reconstitution Inflammatory Syndrome or I.R.I.S. This is a case of a 32 year old male who is an HIV positive for 11 years who presented with multiple fluctuant, palpable masses located at the bilateral axillary area and right supraclavicular area which were noted to increase in size upon initiation of Ant-Koch's medication. The patient was admitted and worked up, underwent incision and drainage with biopsy of masses. Upon histopathology, it revealed Chronic Granulomatous inflammation which is highly suggestive for tuberculosis. Anti-Koch'smedication was continued and low dose steroid was initiated to which the patient was responsive and was then eventually discharged improved. Follow up and counseling of the patient is highly recommended as Tuberculosis in an HIV patient is already an AIDS defining illness which suggests a low CD4+ count.

Research - Department of Medicine

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