Table 5.
Adverse Outcomes of Patients Treated With Pulse Corticosteroid Taper Therapy (PCT) for Cryptococcal Post-infectious Inflammatory Response Syndrome (PIIRS)
| Complications | N = 15 (%) |
|---|---|
| Infections | 0 |
| Osteopenia requiring bisphosphonates | 2(13) |
| Fractures | 0 |
| Posterior subcapsular cataracts | 4 (27) |
| Refractory adrenal insufficiency | 0 |
| Aseptic necrosis | 0 |
| Ocular hypertension | 2 (13) |
| Steroid-induced hyperglycemia | 3a (20) |
| Weight gain > kg 6 months post-pulse | 7 (47) |
| Neuropsychiatric symptoms | 1b(7) |
a Patient 1 had an underlying history of diabetes mellitus; in the other 2 patients, it subsided with no requirement for long-term insulin use.
b Resolved.