Yanagisawa Narika, Takeuchi Seisho, Nakamura Miho, Yoshida Yukitaka, Teruya Katsuji, Takada Kiyonori
Department of Pharmacy, Kochi Medical School Hospital, Nankoku 783-8505, Japan.
Department of General Medicine, Kochi Medical School Hospital, Nankoku 783-8505, Japan.
IDCases. 2019 Jul 27;18:e00609. doi: 10.1016/j.idcr.2019.e00609. eCollection 2019.
Immune reconstitution inflammatory syndrome (IRIS) is a clinical entity with a broad presentation that is complicated in patients with acquired immunodeficiency syndrome after initiating antiretroviral therapy. A 51-year-old Japanese man was diagnosed with disseminated complex (MAC) infection presenting as unmasking IRIS, which formed a large abscess in the patient's abdominal wall. MAC-IRIS commonly involves the lymph nodes, bone marrow, and gastrointestinal tract. To our knowledge, this is the first case report of an abdominal wall abscess caused by MAC-IRIS.
免疫重建炎症综合征（IRIS）是一种临床表现多样的临床病症，在获得性免疫缺陷综合征患者开始抗逆转录病毒治疗后会变得复杂。一名51岁的日本男性被诊断为播散性鸟分枝杆菌复合体（MAC）感染，表现为暴露型IRIS，在患者腹壁形成了一个大脓肿。MAC-IRIS通常累及淋巴结、骨髓和胃肠道。据我们所知，这是首例由MAC-IRIS引起的腹壁脓肿病例报告。
