Paradoxical cryptococcal immune reconstitution inflammatory syndrome in advanced chronic kidney disease

Chih Chin Kao, Vin Cent Wu, Hsin Yun Sun, Che Hsiung Wu

研究成果: 雜誌貢獻文章同行評審

2 引文 斯高帕斯(Scopus)

摘要

Cryptococcal-related immune reconstitution inflammatory syndrome (IRIS) is frequently seen in immunocompromised patients. A 45-year-old man with advanced chronic kidney disease (CKD) received intensive antifungal treatment for pulmonary cryptococcosis. Despite negative pleural effusion cultures and declining serum cryptococcal antigen titers, the patient presented with progressive pulmonary infiltration, intermittent fever, and elevated C-reactive protein. Steroids were given for suspected IRIS, and the clinical condition improved dramatically. This is the first report on paradoxical cryptococcal IRIS in a patient with advanced CKD.
原文英語
頁(從 - 到)1505-1509
頁數5
期刊International Urology and Nephrology
45
發行號5
DOIs
出版狀態已發佈 - 十月 1 2013
對外發佈Yes

ASJC Scopus subject areas

  • Nephrology
  • Urology

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