A Paradoxical Treatment for a Paradoxical Condition: Infliximab Use in Three Cases of Mycobacterial IRIS.

Hsu, Denise C; Faldetta, Kimberly F; Pei, Luxin; Sheikh, Virginia; Utay, Netanya S; Roby, Gregg; Rupert, Adam; Fauci, Anthony S et al. · Clin Infect Dis · 2016

case_series · Level IV

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Abstract

The management of corticosteroid refractory immune reconstitution inflammatory syndrome (IRIS) is currently unclear. Infliximab administration was associated with clinical improvement without significant adverse events in 3 patients with mycobacterial IRIS. Immunologic and virologic responses to antiretroviral therapy were unaffected. Tumor necrosis factor blockade may be beneficial for IRIS and warrants further study in clinical trials.

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