1.
Intern Med
; 62(17): 2559-2564, 2023 Sep 01.
Article
in English
| MEDLINE
| ID: mdl-36642517
ABSTRACT
Paralytic ileus as tuberculosis-immune reconstitution inflammatory syndrome (TB-IRIS) is extremely rare. We herein report a 44-year-old man with pulmonary and renal tuberculosis who developed paralytic ileus 14 days after starting antituberculosis therapy (ATT) despite an initial favorable response to ATT. Paralytic ileus was successfully managed with conservative care. He initially required hemodialysis because of obstructive uropathy due to renal tuberculosis, but he was able to withdraw from dialysis after placement of ureteral stents. TB-IRIS can affect organs other than the original sites of tuberculosis, and the combined use of steroids may be effective for its prevention and treatment.
Subject(s)
Antitubercular Agents , Immune Reconstitution Inflammatory Syndrome , Intestinal Pseudo-Obstruction , Tuberculosis, Pulmonary , Tuberculosis, Renal , Tuberculosis, Pulmonary/complications , Tuberculosis, Pulmonary/diagnostic imaging , Tuberculosis, Pulmonary/drug therapy , Tuberculosis, Renal/complications , Tuberculosis, Renal/diagnostic imaging , Tuberculosis, Renal/drug therapy , Humans , Intestinal Pseudo-Obstruction/diagnosis , Intestinal Pseudo-Obstruction/ethnology , Immune Reconstitution Inflammatory Syndrome/complications , Immune Reconstitution Inflammatory Syndrome/drug therapy , Male , Adult , Antitubercular Agents/therapeutic use , Tomography, X-Ray Computed
2.
Chest
; 158(2): e79-e84, 2020 08.
Article
in English
| MEDLINE
| ID: mdl-32768080