• Am J Emerg Med · Oct 2012

    Case Reports

    Surviving a crisis of HIV-associated immune reconstitution syndrome.

    • Yu-Tzu Tsao, Jin-Chyr Hsu, and Feng-Ming Ho.
    • Division of Nephrology, Department of Medicine, Taoyuan General Hospital, Taoyuan, Taiwan.
    • Am J Emerg Med. 2012 Oct 1;30(8):1661.e5-7.

    AbstractThe management of life-threatening complications in HIV-associated immune reconstitution syndrome is becoming a challenging scenario in emergency practice, especially in the era of highly active antiretroviral therapy paralleled by increased worldwide incidence of HIV infection. Here, we described a 37-year-old woman with acute hypoxic respiratory failure, acute renal failure, and hypercalcemic crisis as the presenting features of HIV-associated immune reconstitution syndrome. In this patient, the restored granulomatous host response toward isolated pulmonary Mycobacterium avium complex infection led to a near-fatal catastrophe. This report reinforces the importance of introducing a rapid, systematic approach of hypercalcemia at the emergency department and the need for clinicians to maintain awareness of this distinct manifestation.Copyright © 2012 Elsevier Inc. All rights reserved.

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