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 Indian J Med Microbiol  
 

Figure 6 (A-D): Immune-reconstitution inflammatory syndrome. 22-year-old patient of acute myeloid leukemia on induction therapy with daunorubicin and cytarabine developed febrile neutropenia with breathlessness. Initial scan (A and B) shows multifocal confluent air-space consolidations and bilateral pleural effusion. Patient initially showed clinical improvement with antibiotics and empirical antifungal therapy but subsequently became oxygen dependent with the development of renal failure. Peripheral smear done on Day 20 showed improved counts and galactomannan normalized but patient clinically worsened. Repeat CT (C and D) shows progression of parenchymal findings with bilateral diffuse smooth interlobular septal thickening in addition to the air-space opacities, suggesting immune-reconstitution inflammatory syndrome

Figure 6 (A-D):  Immune-reconstitution inflammatory syndrome. 22-year-old patient of acute myeloid leukemia on induction therapy with daunorubicin and cytarabine developed febrile neutropenia with breathlessness. Initial scan (A and B) shows multifocal confluent air-space consolidations and bilateral pleural effusion. Patient initially showed clinical improvement with antibiotics and empirical antifungal therapy but subsequently became oxygen dependent with the development of renal failure. Peripheral smear done on Day 20 showed improved counts and galactomannan normalized but patient clinically worsened. Repeat CT (C and D) shows progression of parenchymal findings with bilateral diffuse smooth interlobular septal thickening in addition to the air-space opacities, suggesting immune-reconstitution inflammatory syndrome