Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
European Radiology
Published in: European Radiology 11/2005

01-11-2005 | Chest

Clinical and radiological deterioration in a patient with AIDS

Authors: A. I. De Backer, K. J. Mortelé, P. Bomans, B. L. De Keulenaer, I. J. Vanschoubroeck, M. M. Kockx

Published in: European Radiology | Issue 11/2005

Login to get access

Abstract

Paradoxical clinical deterioration of miliary tuberculosis, characterized by pulmonary and abdominal manifestations, is reported in a patient with the acquired immunodeficiency syndrome, after initiation of treatment with highly active antiretroviral therapy. Paradoxical reaction was attributed to partial restoration of cell-mediated immunity related to highly effective antiretroviral therapy. Because tuberculosis has a high prevalence in HIV patients and tuberculosis is often characterized by miliary spreading of disease in these patients, it is important to recognize this phenomenon.
Literature
1.
Lupatkin H, Bräu N, Flomenberg P (1992) Tuberculous abscesses in patients with AIDS. Clin Infect Dis 14:1040–1044
2.
Horowitz HW, Telzak EE, Sepkowitz KA, Wormser GP (1998) Human immunodeficiency virus infection, part II. Dis Mon 44:677–716CrossRef
3.
Wendel KA, Alwood KS, Gachuhi R, Chaisson RE, Bishai WR, Sterling TR (2001) Paradoxical worsening of tuberculosis in HIV-infected persons. Chest 120:193–197CrossRef
4.
Buckingham SJ, Haddow LJ, Shaw PJ, Miller RF (2004) Immune reconstitution inflammatory syndrome in HIV-infected patients with mycobacterial infections starting highly active anti-retroviral therapy. Clin Radiol 59(6):505–513CrossRef
5.
Rosengart TK, Coppa GF (1990) Abdominal mycobacterial infections in immunocompromised patients. Am J Surg 159:125–131
6.
Chien JW, Johnson JL (1998) Paradoxical reactions in HIV and pulmonary TB. Chest 114:933–936
7.
8.
Van Dyck P, Vanhoenacker FM, Van den Brande P, De Schepper AM (2003) Imaging of pulmonary tuberculosis. Eur Radiol 13:1771–1785CrossRef
9.
10.
Lundstedt C, Nyman R, Brismar J, Hugosson C, Kagevi I (1996) Imaging of tuberculosis. II. Abdominal manifestations in 112 patients. Acta Radiol 37:489–495
11.
Bhansali SK (1977) Abdominal tuberculosis. Experiences with 300 cases. Am J Gastroenterol 67:324–337
12.
Narita M, Ashkin D, Hollender ES, Pitchenik AE (1998) Paradoxical worsening of tuberculosis following antiretroviral therapy in patients with AIDS. Am J Respir Crit Care Med 158:157–161PubMed
13.
Campbell IA, Dyson AJ (1977) Lymph node tuberculosis: a comparison of various methods of treatment. Tubercle 58:171–179CrossRef
14.
Sepkowitz KA (1998) Effect of HAART on natural history of AIDS-related opportunistic disorders. Lancet 351:228–230
15.
Chambers ST, Hendrickse WA, Record C, Rudge P, Smith H (1984) Paradoxical expansion of intracranial tuberculomas during chemotherapy. Lancet 2:181–184CrossRef
Metadata
Title
Clinical and radiological deterioration in a patient with AIDS
Authors
A. I. De Backer
K. J. Mortelé
P. Bomans
B. L. De Keulenaer
I. J. Vanschoubroeck
M. M. Kockx
Publication date
01-11-2005
Publisher
Springer-Verlag
Published in
European Radiology / Issue 11/2005
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-005-2684-2

Other articles of this Issue 11/2005

European Radiology 11/2005 Go to the issue

Vascular-Interventional

Use of guiding sheaths in peroral fluoroscopic gastroduodenal stent placement

Gastrointestinal

Multidetector CT of bowel obstruction: value of post-processing

Calendar of Events

Calendar of Events (15/11)

Musculoskeletal

Spontaneous rupture of the distal iliopsoas tendon: clinical and imaging findings, with anatomic correlations

Neuro

Age-related signal intensity changes in the corpus callosum: assessment with three orthogonal FLAIR images

Chest

Value of high spatial and high temporal resolution magnetic resonance angiography for differentiation between idiopathic and thromboembolic pulmonary hypertension: initial results