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Imaging of Mycobacterium avium-intracellulare Infection in AIDS Patients on Highly Active Antiretroviral Therapy

Reversal Syndrome

Kenneth M. Nalaboff1, Anna Rozenshtein2 and Mark H. Kaplan3

1 Department of Radiology, North Shore University Hospital, 300 Community Dr., Manhasset, NY 11030.
2 Department of Radiology, St. Luke's Roosevelt Hospital Center, St. Luke's Division, 1111 Amsterdam Ave., New York, NY 10025.
3 Department of Infectious Diseases, North Shore University Hospital, Manhasset, NY 11030.



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  		Fig. 1. —31-year-old man with AIDS wh developed sudden massive cervica lymphadenopathy 3 weeks after beginnin highly active antiretroviral therapy. C scan shows large bilateral low-densit cervical nodes (arrowheads) consisten with necrosis.

 


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  		Fig. 2. —28-year-old woman with AIDS and history of infection with Mycobacterium avim-intracellulare who developed severe abdominal pain 1 month after beginning highly active antiretroviral therapy. CT scan of abdomen reveals extensive necrotic mesenteric lymphadenopathy (arrowheads).

 


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  		Fig. 3. —29-year-old woman with AIDS and history of infection with Mycobacterium avium-intracellulare. CT scan of chest shows right hilar lymphadenopathy (arrow).

 


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  		Fig. 4. —50-year-old woman with AIDS who developed fever, arthralgias, cutaneous nodules, and osteomyelitis of right foot and thoracic spine after starting highly active antiretroviral therapy. T1-weighted MR image of thoracic spine shows paraspinal mass (arrow). Note collapse of T7 from Mycobacterium avium-intracellulare osteomyelitis.

 

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