An HIV-positive Case of Obstructive Jaundice Caused by Immune Reconstitution Inflammatory Syndrome of Tuberculous Lymphadenitis Successfully Treated with Corticosteroids
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- Watanabe Naoaki
- Center for Pulmonary Diseases, National Hospital Organization Tokyo National Hospital, Japan
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- Sato Ryota
- Center for Pulmonary Diseases, National Hospital Organization Tokyo National Hospital, Japan
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- Nagai Hideaki
- Center for Pulmonary Diseases, National Hospital Organization Tokyo National Hospital, Japan
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- Matsui Hirotoshi
- Center for Pulmonary Diseases, National Hospital Organization Tokyo National Hospital, Japan
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- Yamane Akira
- Center for Pulmonary Diseases, National Hospital Organization Tokyo National Hospital, Japan
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- Kawashima Masahiro
- Center for Pulmonary Diseases, National Hospital Organization Tokyo National Hospital, Japan
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- Suzuki Junko
- Center for Pulmonary Diseases, National Hospital Organization Tokyo National Hospital, Japan
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- Tashimo Hiroyuki
- Center for Pulmonary Diseases, National Hospital Organization Tokyo National Hospital, Japan
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- Ohshima Nobuharu
- Center for Pulmonary Diseases, National Hospital Organization Tokyo National Hospital, Japan
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- Masuda Kimihiko
- Center for Pulmonary Diseases, National Hospital Organization Tokyo National Hospital, Japan
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- Tamura Atsuhisa
- Center for Pulmonary Diseases, National Hospital Organization Tokyo National Hospital, Japan
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- Akagawa Shinobu
- Center for Pulmonary Diseases, National Hospital Organization Tokyo National Hospital, Japan
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- Hebisawa Akira
- Department of Clinical Research, National Hospital Organization Tokyo National Hospital, Japan
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- Ohta Ken
- Center for Pulmonary Diseases, National Hospital Organization Tokyo National Hospital, Japan
書誌事項
- 公開日
- 2017
- 資源種別
- journal article
- DOI
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- 10.2169/internalmedicine.8713-16
- 公開者
- 一般社団法人 日本内科学会
この論文をさがす
説明
<p>A 60-year-old man was admitted to our hospital because of a persistent fever with enlargement of multiple lymph nodes in the mediastinum and around the pancreatic head. He was diagnosed with tuberculosis and human immunodeficiency virus infection. We started antiretroviral therapy three weeks after the initiation of anti-tuberculous therapy. Two weeks later, jaundice appeared with dilatation of the biliary tract due to further enlargement of the lymph nodes, which seemed to be immune reconstitution inflammatory syndrome (IRIS). The administration of corticosteroids resolved the obstructive jaundice without surgical treatment or endoscopic drainage. Obstructive jaundice caused by IRIS should first be treated with corticosteroids before invasive treatment. </p>
収録刊行物
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- Internal Medicine
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Internal Medicine 56 (19), 2661-2666, 2017
一般社団法人 日本内科学会