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CASE REPORT
Year : 2014  |  Volume : 2  |  Issue : 2  |  Page : 65-68

Tuberculosis-immune reconstitution inflammatory syndrome


1 Department of Medicine, Bombay Hospital Institute of Medical Sciences and Research, Mumbai, Maharashtra, India
2 Department of Chest Medicine and T.B, Bombay Hospital Institute of Medical Sciences and Research, Mumbai, Maharashtra, India

Correspondence Address:
Vikas Mishra
Department of Medicine, Bombay Hospital Institute of Medical Sciences and Research, Mumbai 400 020, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2321-9157.159973

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The characteristic hallmark of immune reconstitution inflammatory syndromes (IRIS) is paradoxical worsening of an existing infection or disease process or appearance of a new infection/disease process soon after initiation of therapy. In view of the overlapping symptoms, its nonspecific nature and a challenging obscurity of diagnosis, a multidimensional diagnostic approach is suggested. We report a case of paradoxical tuberculosis IRIS hidden behind other nonopportunistic infections such as dengue, malaria, and urinary tract infection in a patient with acquired immunodeficiency syndrome.


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