Fatal form of immune reconstitution inflammatory syndrome (IRIS) developed post pneumonia in a solid organ transplant recipient

Abstract Background Immune reconstitution inflammatory syndrome (IRIS) is a complex phenomenon commonly diagnosed with human immunodeficiency virus (HIV). However, rarely, IRIS can develop with other diseases outside of HIV. We are discussing a rare presentation of IRIS following a pseudomonal infec...

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Main Authors: Hussain Hussain (Author), Aya Fadel (Author), Ekaterina Casmartino (Author), John Sullivan (Author), Amanda Fernandes (Author), Samantha Garcia (Author), Efrain Garcia (Author)
Format: Book
Published: SpringerOpen, 2024-02-01T00:00:00Z.
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Summary:Abstract Background Immune reconstitution inflammatory syndrome (IRIS) is a complex phenomenon commonly diagnosed with human immunodeficiency virus (HIV). However, rarely, IRIS can develop with other diseases outside of HIV. We are discussing a rare presentation of IRIS following a pseudomonal infection. Case presentation We present a 79-year-old Hispanic male who completed a course of cefepime for Pseudomonas aeruginosa hospital-acquired pneumonia. The patient had a 21-year history of solid organ transplant and immunosuppressive therapy, and he developed a fatal form of IRIS post-Pseudomonas aeruginosa. Conclusions IRIS may occur in any immunocompromised patient who develops an insidious onset of unexplained clinical and serological deterioration.
Item Description:10.1186/s43162-024-00286-9
2090-9098