The Doctor’s Channel

The University of Chicago Medicine

Gastroenterology Clinical Case Series

Such a “Fun Guy” — 28-Year-Old Male with Intractable Fungal Infection

Part 1

Case Presentation, Differential Diagnosis, and Workup

6:47

Part 2

Diagnosis, Treatment, and Follow-Up

8:08

Which of the following regarding Immune Reconstitution Syndrome is not true?

Choose one to reveal diagnosis and discussion

Typically in HIV-infected patients with Mycobacterium, CMV, Cryptococcus, PCP, JC virus, Herpes zoster
Develop infectious symptoms within 2-6 months of initiation of HAART therapy
Less commonly described in solid-organ transplant recipients with reduction or discontinuation of immunosuppression
Mediated by increase in B lymphocytes concomitant with lymphocyte proliferation responses and increased markers of inflammation

Answer: Mediated by increase in B lymphocytes concomitant with lymphocyte proliferation responses and increased markers of inflammation

Program Contributors
David Rubin, MD
David Rubin, MD

Joseph B. Kirsner
Professor of Medicine,
Hepatology and Nutrition

Section Chief: Gastroenterology

Co-Director: Digestive Disease Center


Vijaya Rao, MD
Vijaya Rao, MD

Gastroenterology Fellow

University of Chicago
School of Medicine


Christopher Chapman, MD
Christopher Chapman, MD

Gastroenterology Fellow

University of Chicago
School of Medicine


Emmanuel Coronel, MD
Emmanuel Coronel, MD

Gastroenterology Fellow

University of Chicago
School of Medicine


M. Anthony Sofia, MD
M. Anthony Sofia, MD

Gastroenterology Fellow

University of Chicago
School of Medicine


Manish Sharma, MD
Manish Sharma, MD

Medical Oncologist

Assistant Professor of Medicine

University of Chicago
School of Medicine


Matt Stier, MD
Matt Stier, MD

Gastroenterology Fellow

University of Chicago
School of Medicine


Adjoa Anyane-Yeboa, MD
Adjoa Anyane-Yeboa, MD

Gastroenterology Fellow

University of Chicago
School of Medicine


Bilal Gondal, MD, MRCS
Bilal Gondal, MD, MRCS

Gastroenterology Fellow

University of Chicago
School of Medicine