Immune reconstitution inflammatory syndrome and human immunodeficiency virus-associated myocarditis

Jonathan S. Rogers, Sammy Zakaria, Kerri A. Thom, Kristin M. Flammer, Mettassebia Kanno, Mandeep R. Mehra

Research output: Contribution to journalArticle

Abstract

Myocarditis is a well-recognized cardiac manifestation of human immunodeficiency virus (HIV) infection, and alterations in the immune system likely play an important role in the pathogenesis of heart muscle disease in HIV-infected patients. Highly active antiretroviral therapy (HAART) has greatly improved survival in HIV patients but not without uncovering new and unique manifestations of disease. Immune reconstitution inflammatory syndrome is a collection of inflammatory disorders in which a pathologic inflammatory response and clinical deterioration occur during recovery of the immune system after HAART. To our knowledge, a correlation between immune reconstitution inflammatory syndrome and HIV-associated myocarditis has not been described previously. We report a case of acute myocarditis presenting with refractory ventricular arrhythmias in a patient with AIDS who experienced rapid immune recovery with the initiation of HAART. The case underscores the importance of recognizing this potential complication of AIDS treatment and calls for renewed vigilance concerning cardiac manifestations of HIV, especially during the immune reconstitution phase.

Original languageEnglish (US)
Pages (from-to)1275-1279
Number of pages5
JournalMayo Clinic Proceedings
Volume83
Issue number11
DOIs
StatePublished - 2008
Externally publishedYes

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Immune Reconstitution Inflammatory Syndrome
Myocarditis
HIV
Highly Active Antiretroviral Therapy
Immune System
Acquired Immunodeficiency Syndrome
Virus Diseases
Cardiac Arrhythmias
Heart Diseases
Myocardium
Survival

ASJC Scopus subject areas

  • Medicine(all)

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Immune reconstitution inflammatory syndrome and human immunodeficiency virus-associated myocarditis. / Rogers, Jonathan S.; Zakaria, Sammy; Thom, Kerri A.; Flammer, Kristin M.; Kanno, Mettassebia; Mehra, Mandeep R.

In: Mayo Clinic Proceedings, Vol. 83, No. 11, 2008, p. 1275-1279.

Research output: Contribution to journalArticle

Rogers, Jonathan S. ; Zakaria, Sammy ; Thom, Kerri A. ; Flammer, Kristin M. ; Kanno, Mettassebia ; Mehra, Mandeep R. / Immune reconstitution inflammatory syndrome and human immunodeficiency virus-associated myocarditis. In: Mayo Clinic Proceedings. 2008 ; Vol. 83, No. 11. pp. 1275-1279.
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