Cryptococcosis is the most common cause of meningitis in Africa due to the high burden of HIV. Immune reconstitution inflammatory syndrome (IRIS) is a frequent and deadly complication of cryptococcal meningitis. We report a fatal case of cryptococcal-IRIS in a pregnant woman that began after starting antiretroviral therapy (unmasking IRIS) and markedly worsened postpartum after delivery (paradoxical IRIS).
Bibliographical noteFunding Information:
The authors are supported by the National Institute of Neurologic Diseases and Stroke , the National Institute of Allergy and Infectious Diseases and Fogarty International Center ( R01NS086312-01 , R01AI078934-04 , R25TW009345-02 ). We thank Drs. Henry Nabeta and Abdu Musubire for patient care.
- Cryptococcus meningitis
- Immune reconstitution inflammatory syndrome