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Our patient witnessed worsening weakness by fifth day after starting HAART, even before the occurrence of <jats:italic>Pneumocystis jirovecii<\/jats:italic> pneumonia, cautioning one of the impending serious complications of IRIS and helped us initiate steroids at an early date.<\/jats:p>","DOI":"10.1136\/bcr-2017-221874","type":"journal-article","created":{"date-parts":[[2017,10,13]],"date-time":"2017-10-13T08:10:11Z","timestamp":1507882211000},"page":"bcr-2017-221874","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Worsening Guillain-Barr\u00e9 syndrome: harbinger of IRIS in HIV?"],"prefix":"10.1136","volume":"2017","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8454-1485","authenticated-orcid":false,"given":"Neeharika L","family":"Mathukumalli","sequence":"first","affiliation":[{"name":"Department of Neurology, Nizam\u2019s Institute of Medical Sciences, Hyderabad, Telangana, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Niloufer","family":"Ali","sequence":"additional","affiliation":[{"name":"Department of Neurology, Nizam\u2019s Institute of Medical Sciences, Hyderabad, Telangana, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meena A","family":"Kanikannan","sequence":"additional","affiliation":[{"name":"Department of Neurology, Nizam\u2019s Institute of Medical Sciences, Hyderabad, Telangana, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sireesha","family":"Yareeda","sequence":"additional","affiliation":[{"name":"Department of Neurology, Nizam\u2019s Institute of Medical Sciences, Hyderabad, Telangana, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,10,13]]},"reference":[{"key":"2025082804271135000_2017.oct13_2.bcr-2017-221874.1","doi-asserted-by":"crossref","first-page":"852","DOI":"10.1016\/S0140-6736(86)90956-6","article-title":"Acute neuropathy coincident with seroconversion for anti-LAV\/HTLV-III","volume":"1","author":"Piette","year":"1986","journal-title":"Lancet"},{"key":"2025082804271135000_2017.oct13_2.bcr-2017-221874.2","doi-asserted-by":"publisher","DOI":"10.1053\/jinf.2001.0917"},{"key":"2025082804271135000_2017.oct13_2.bcr-2017-221874.3","doi-asserted-by":"publisher","DOI":"10.1086\/368311"},{"key":"2025082804271135000_2017.oct13_2.bcr-2017-221874.4","first-page":"103","article-title":"Guillain Barre syndrome in an HIV-1-infected patient after the beginning of combined antiretroviral therapy: an immune reconstitution inflammatory syndrome?","volume":"37","author":"Fantauzzi","year":"2014","journal-title":"New Microbiol"},{"key":"2025082804271135000_2017.oct13_2.bcr-2017-221874.5","first-page":"62","article-title":"Guillain-Barre syndrome following immune reconstitution after antiretroviral therapy for primary HIV infection","volume":"12","author":"Teo","year":"2007","journal-title":"J HIV Ther"},{"key":"2025082804271135000_2017.oct13_2.bcr-2017-221874.6","doi-asserted-by":"publisher","DOI":"10.1097\/01.inf.0000195618.55453.9a"},{"key":"2025082804271135000_2017.oct13_2.bcr-2017-221874.7","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/157.5.889"},{"key":"2025082804271135000_2017.oct13_2.bcr-2017-221874.8","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/awq365"},{"key":"2025082804271135000_2017.oct13_2.bcr-2017-221874.9","doi-asserted-by":"publisher","DOI":"10.1046\/j.1468-1293.2000.00012.x"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-221874","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:27:24Z","timestamp":1756380444000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-221874"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,10,13]]},"references-count":9,"alternative-id":["10.1136\/bcr-2017-221874"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-221874","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2017,10,13]]}}}