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Article ; Online: Parvovirus B19 encephalitis presenting as immune restoration disease after highly active antiretroviral therapy for human immunodeficiency virus infection.

Nolan, Richard C / Chidlow, Glenys / French, Martyn A

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America

2003  Volume 36, Issue 9, Page(s) 1191–1194

Abstract: ... for human immunodeficiency virus infection may be a consequence of the restoration of an immune response against opportunistic pathogens (i.e ... immune restoration disease [IRD]). We describe a young man who had AIDS complicated by parvovirus B19 ... Illness occurring during the initial months of highly active antiretroviral therapy (HAART ...

Abstract Illness occurring during the initial months of highly active antiretroviral therapy (HAART) for human immunodeficiency virus infection may be a consequence of the restoration of an immune response against opportunistic pathogens (i.e., immune restoration disease [IRD]). We describe a young man who had AIDS complicated by parvovirus B19 infection and RBC aplasia and who developed a painless, progressive dyspraxia of the left arm and an expressive dysphasia 4 weeks after commencing effective HAART. Neuroimaging demonstrated multiple right fronto-parietal lesions, and, following extensive investigations, including a brain biopsy, it was concluded that the brain lesions represented IRD associated with parvovirus B19 infection.
MeSH term(s) AIDS-Related Opportunistic Infections/virology ; Adult ; Anti-HIV Agents/therapeutic use ; Antiretroviral Therapy, Highly Active/adverse effects ; Encephalitis, Viral/etiology ; HIV Infections/complications ; HIV Infections/drug therapy ; Humans ; Immunity ; Male ; Parvoviridae Infections/etiology ; Parvovirus B19, Human ; Polymerase Chain Reaction
Chemical Substances Anti-HIV Agents
Language English
Publishing date 2003-05-01
Publishing country United States
Document type Case Reports ; Journal Article
ZDB-ID 1099781-7
ISSN 1537-6591 ; 1058-4838
ISSN (online) 1537-6591
ISSN 1058-4838
DOI 10.1086/374603
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