Nerve abscess in Hansen’s disease as part of immune reconstitution inflammatory syndrome: a case report
| Autor: | Kashinath Nayak, Pramod Kumar, Neema M Ali |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Pathology medicine.medical_specialty Biopsy Prednisolone HIV Infections Leprostatic Agents Dermatology Disease 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Antigen Immune reconstitution inflammatory syndrome Immune Reconstitution Inflammatory Syndrome Immunity Antiretroviral Therapy Highly Active Hypersensitivity medicine Humans Leprosy Borderline Pharmacology (medical) 030212 general & internal medicine Abscess Skin AIDS-Related Opportunistic Infections medicine.diagnostic_test business.industry Public Health Environmental and Occupational Health medicine.disease Leprosy Tuberculoid Antiretroviral therapy Treatment Outcome Infectious Diseases Male patient Skin biopsy business |
| Zdroj: | International Journal of STD & AIDS. 28:196-198 |
| ISSN: | 1758-1052 0956-4624 |
| DOI: | 10.1177/0956462416654069 |
| Popis: | Immune reconstitution inflammatory syndrome is an inflammatory reaction in HIV-infected patients after initiation of antiretroviral therapy resulting from restored immunity to specific infectious or non-infectious antigens. A 36-year-old male patient on highly active antiretroviral therapy of six months duration, presented with reddish, tender lesions over medial aspect of arm and a single, anaesthetic patch. Tender fluctuant swellings were seen on the medial aspect of left forearm. A few of them had ruptured spontaneously discharging pus. A skin biopsy from the anaesthetic patch showed caseating epitheloid granulomas. A diagnosis of Hansen’s disease borderline tuberculoid in type 1 reversal reaction, with formation of nerve abscess due to Immune Reconstitution Inflammatory Syndrome was made. The patient was started on multibacillary multidrug therapy as per WHO guidelines and highly active antiretroviral therapy was continued. |
| Databáze: | OpenAIRE |
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