Pediatr Infect Vaccine.  2024 Apr;31(1):130-135. 10.14776/piv.2024.31.e2.

Immune Reconstitution Inflammatory Syndrome-Like Reaction During the Treatment of Pneumocystis jirovecii Pneumonia in an Infant With Severe Combined Immunodeficiency

Affiliations
  • 1Department of Pediatrics, Severance Children’s Hospital, Yonsei University College of Medicine, Seoul, the Republic of Korea
  • 2Department of Pediatrics, Hanyang University Hospital, Hanyang University College of Medicine, Seoul, the Republic of Korea
  • 3Institute for Immunology and Immunological Disease, Yonsei University College of Medicine, Seoul, the Republic of Korea

Abstract

The effectiveness of corticosteroids in preventing immune reconstitution inflammatory syndrome in non-human immunodeficiency viruses Pneumocystis carinii pneumonia (PCP) patients, such as severe combined immunodeficiency (SCID) patients, is controversial. We experienced a paradoxical reaction during severe PCP treatment in a SCID infant, which responded well to adjuvant corticosteroids.

Keyword

Severe combined immunodeficiency; Immune reconstitution inflammatory syndrome; Pneumocystis pneumonia; Steroid
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