Late onset of cryptococcal cervical XXXX following immune reconstitution @entity32 in a @entity1 with AIDS.

@entity1 @entity32 @entity404 @entity645 @entity281 @entity3298 @entity288
A 32-year-old @entity1 was diagnosed @entity645 positive with disseminated @entity281 in May 2006. Her initial @entity404 was 7 cells/  L and she had a right supraclavicular nodal mass, which was biopsied and shown to be consistent with cryptococcal @entity3298 . She was treated for disseminated @entity281 and was started on antiretroviral medications subsequently. Two years later, she developed a left supraclavicular mass. Her @entity404 count was 320 cells/  L and @entity645 RNA level was undetectable. Investigations and biopsy results were consistent with a late presentation of cryptococcal immune reconstitution @entity32 (IRIS). She was treated with oral @entity288 and her symptoms resolved completely. IRIS is a recognised complication of @entity645 treatment and occurs in a significant percentage of @entity1 within the first 3   months of starting antiretroviral therapy. This case report illustrates the importance of recognising late presentations of IRIS. It is vital to differentiate true cryptococcal @entity3298 from IRIS-induced cryptococcal @entity3298 .
