A Rare Case of Cytomegalovirus Colitis with Subsequent Non-tubercular Mycobacteria Immune Reconstitution Inflammatory Syndrome

Cytomegalovirus (CMV) colitis occurs commonly in immunocompromised patients with high mortality. CMV infection has also been reported immunocompetent individuals and it a varied clinical presentation. When HIV-infected are started on antiretroviral therapy (ART) there is reconstitution of the immune system which results paradoxical worsening existing conditions or development new disease known as inflammatory syndrome (IRIS). In setting IRIS one most common infections to occur non-tubercular mycobacteria (NTM). The generally develops when CD4 count < 50 cells/µL. Here we present rare case followed by NTM IRIS, its management, treatment outcomes.