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Fig. 7A —27-year-old man with AIDS and low CD4 count (< 40
cells/mL) treated with highly active antiretroviral therapy. Despite favorable
immune response, patient developed fever and back pain. Cultures of
histopathologic material obtained from retroperitoneal lymph node biopsy
showed Mycobacterium avium-intracellulare complex organisms. Frontal
chest radiograph shows bilateral bulky mediastinal lymphadenopathy. Clinical
and imaging findings are consistent in showing immune reconstitution syndrome.
Repeat radiographs after treatment (not shown) showed decreased mediastinal
adenopathy.
