Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Paradoxical Cryptococcal Meningitis Immune Reconstitution Inflammatory Syndrome in a Patient with Human Immunodeficiency Virus Infection: Matching Clinical Findings with MRI Findings

인간면역결핍바이러스 감염환자에서 역설적 크립토코쿠스 수막염 면역재구성 염증증후군: 임상 소견들과 자기공명영상 소견들의 대조

  • Moon, Sungjun (Department of Radiology, Kyungpook National University Hospital) ;
  • Hahm, Myong Hun (Department of Radiology, School of Medicine, Kyungpook National University)
  • 문성준 (경북대학교병원 영상의학과) ;
  • 함명훈 (경북대학교 의과대학 영상의학교실)
  • Received : 2018.04.26
  • Accepted : 2018.07.25
  • Published : 2018.12.01
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Abstract

There are two forms of cryptococcal meningitis immune reconstitution inflammatory syndrome (CM-IRIS): paradoxical CM-IRIS and unmasking CM-IRIS. It is important to distinguish paradoxical CM-IRIS and CM relapse because mortality of CM-IRIS is higher than that of CM without IRIS, and paradoxical CM-IRIS and CM relapse requires different treatment. We report a case of paradoxical CM-IRIS that well matches the clinical findings with MR findings during three years follow-up of a HIV infected patient and new MRI finding is also introduced to help distinguish them.

크립토코쿠스 수막염 면역재구성 염증증후군은 역설적 크립토코쿠스 수막염 면역재구성 염증증후군과 증상이 드러나는 크립토코쿠스 수막염 면역재구성 염증증후군의 두 가지 형태가 있다. 역설적 크립토코쿠스 수막염 면역재구성 염증증후군과 크립토코쿠스 수막염 재발을 구별하는 것은 중요하다. 왜냐하면 면역재구성 염증증후군 없는 크립토코쿠스 수막염보다 면역재구성 염증증후군이 있는 크립토 코쿠스 수막염의 사망율이 더 높고, 역설적 크립토코쿠스 수막염 면역재구성 염증증후군과 크립토코쿠스 수막염 재발은 다른 치료를 요구하기 때문이다. 우리는 인간면역결핍바이러스 감염환자의 3년의 추적기간 동안 임상 소견과 자기공명영상 소견이 잘 대조된 역설적 크립토코쿠스 수막염 면역재구성 염증증후군의 사례와 감별에 도움이 되는 새로운 자기공명영상 소견을 보고하고자 한다.

Keywords

References

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