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Immune Reconstitution Inflammatory Syndrome Presenting as Superior Vena Cava Syndrome Secondary to Coccidioides Lymphadenopathy in an HIV-Infected Patient

^* To whom correspondence should be addressed. E-mail: rmortimer{at}fresno.ucsf.edu.

	Abstract

A 39-year-old man living with AIDS presented with a swollen face. He was found to be HIV infected after presenting with Coccidioides pneumonia 2 years previously and was placed on daily fluconazole and then on highly active antiretroviral therapy. Computed tomography confirmed superior vena cave obstruction secondary to lymphadenopathy. Biopsy confirmed coccidioidomycosis with no evidence of malignancy. To our knowledge, this is the first description of superior vena cave syndrome secondary to coccidioidomycosis and the first description of immune reconstitution inflammatory syndrome involving Coccidioides.

First published on October 23, 2008, doi:10.1177/1545109708326090

Journal of the International Association of Physicians in AIDS Care (JIAPAC) 2008;7:283.

A more recent version of this article appeared on December 1, 2008


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