Department of Infectious Diseases, Japanese Red Cross Medical Center, Japan.
Department of Pathology, Japanese Red Cross Medical Center, Japan.
Intern Med. 2023;62(7):1089-1093. doi: 10.2169/internalmedicine.9661-22. Epub 2023 Apr 1.
We herein report a case of retroviral rebound syndrome (RRS) complicated with hemophagocytic lymphohistiocytosis. Owing to the paucity of comprehensive data on RRS, we also conducted a literature review. All 19 cases included in the review presented within 2 months after the discontinuation of antiretroviral therapy. They were usually accompanied by both a significant decrease in CD4 count (median 292/μL) and a rapid increase in plasma human immunodeficiency virus loads (median 3.5×10/mL). Although life-threatening complications were reported, the overall prognosis was favorable. The outcomes of this review aided in the diagnosis of the present case.
我们在此报告一例逆转录病毒反弹综合征(RRS)合并噬血细胞性淋巴组织细胞增生症。由于 RRS 的综合数据有限,我们还进行了文献复习。综述中纳入的 19 例病例均在停止抗逆转录病毒治疗后 2 个月内出现。它们通常伴有 CD4 计数显著下降(中位数 292/μL)和血浆人类免疫缺陷病毒载量快速增加(中位数 3.5×10/mL)。尽管有报道称存在危及生命的并发症,但总体预后良好。本综述的结果有助于该病例的诊断。