AUTHOR=Hornik Alejandro , Rodriguez-Porcel Federico , Wallery Shawn , Flaster Murray , Lee John , Biller Jose TITLE=Late Onset CNS Immune Reconstitution Inflammatory Syndrome in an Immunocompetent Patient JOURNAL=Frontiers in Neurology VOLUME=4 YEAR=2013 URL=https://www.frontiersin.org/journals/neurology/articles/10.3389/fneur.2013.00012 DOI=10.3389/fneur.2013.00012 ISSN=1664-2295 ABSTRACT=

Immune reconstitution inflammatory syndrome (IRIS) refers to the presence of paradoxical clinical deterioration attributable to immune system recovery during highly active antiretroviral therapy (HAART). We present an immunocompetent patient with multifocal leukoencephalopathy on HAART, with central nervous system (CNS) IRIS pathology of unknown infectious etiology. CNS IRIS pathology should be suspected in patients on longstanding HAART without immune reconstitution, presenting with unexplained leukoencephalopathy.