India HIV Case Discussion - Case #7 Patient with painless swelling on tongue

presented July 16, 2008

Case Description:
35 yo HIV-infected male in Uganda presents with painless swelling on the tongue x3 mos which gradually increased over time

Learning Objectives:
1. Explain the clinical characteristics and risk factors associated with immune reconstitution inflammatory syndrome (IRIS).
2. Recognize the different manifestations of cryptococcus-related IRIS.

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presented July 16, 2008

1. Which opportunistic infection is most commonly associated with immune reconstitution inflammatory syndrome among HIV patients started on HAART?

2. To have IRIS a patient must have all of the following EXCEPT:

3. Which of the following is least likely to be associated with an increased risk for cryptococcosis?