Tsao Y.-T.,Taoyuan General Hospital |
Lee S.-W.,Taoyuan General Hospital |
Lee S.-W.,Taoyuan General Hospital Taoyuan |
Hsu J.-C.,Taoyuan General Hospital |
And 3 more authors.
American Journal of Emergency Medicine | Year: 2012
The 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. © 2012 Elsevier Inc. All rights reserved.