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Cystic lung lesions as an immune reconstitution inflammatory syndrome (IRIS) in HIV-TB co-infection?
  1. D Richardson1,
  2. L Rubinstein1,
  3. E Ross2,
  4. A Rice3,
  5. A R Wright4,
  6. O M Kon5,
  7. J Walsh6
  1. 1Department of HIV Medicine, Jefferiss Wing, St Mary’s Hospital, London, UK
  2. 2Department of Chest Medicine, The Chest and Allergy Clinic, St Mary’s Hospital, London, UK
  3. 3Department of Histopathology, St Mary’s Hospital, London, UK
  4. 4Department of Clinical Radiology St Mary’s Hospital, London, UK
  5. 5Department of Chest Medicine, The Chest and Allergy Clinic, St Mary’s Hospital, London, UK
  6. 6Department of HIV Medicine, Jefferiss Wing, St Mary’s Hospital, London, UK
  1. Correspondence to:
    Dr D Richardson
    Jefferiss Wing, St Mary’s Hospital, London W2 1NY, UK; daniel.richardsonst-marys.nhs.uk

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A 33 year old man presented with a 3 week history of night sweats, fever, productive cough, and intermittent headaches. He was found to be HIV antibody positive and fully sensitive Mycobacterium tuberculosis was cultured from his cerebrospinal fluid, blood, and bronchoalveolar lavage fluid. He did not have Pneumocystisjiroveci. A thin section CT scan of his …

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