Abstract
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.
| Original language | English |
|---|---|
| Pages (from-to) | 1505-1509 |
| Number of pages | 5 |
| Journal | International Urology and Nephrology |
| Volume | 45 |
| Issue number | 5 |
| DOIs | |
| Publication status | Published - Oct 1 2013 |
| Externally published | Yes |
UN SDGs
This output contributes to the following UN Sustainable Development Goals (SDGs)
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SDG 3 Good Health and Well-being
Keywords
- Chronic kidney disease
- Cryptococcus
- Immune reconstitution inflammatory syndrome
ASJC Scopus subject areas
- Nephrology
- Urology
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