Case Report
Immune Reconstitution Inflammatory Syndrome: Opening Pandora’s Box
Figure 1
(a) Gastric Kaposi sarcoma: scarlet slightly elevated lesions of the antral gastric mucosal surface (upper gastrointestinal endoscopy). (b) Mediastinal ganglia Kaposi sarcoma: submucosal vascular spindle-shaped cells (H&E-stain, 100x). (c) Candida spp. in colon (Grocott methenamine silver-stain, 100x). (d) Candida spp. in lung and hyaline membranes suggesting acute respiratory distress syndrome (H&E-stain, 100x). (e) Bone marrow hemophagocytosis (H&E-stain, 400x). (f) Progressive multifocal leukoencephalopathy: enlarged homogeneous oligodendrocyte nucleus with inclusion (H&E-stain, 100x). (g) Cerebral toxoplasmosis: Toxoplasma cyst (H&E-stain, 100x). (h) Cardiac toxoplasmosis: Toxoplasma cyst (H&E-stain, 100x).
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