Skip to main content
. 2020 Dec 31;73(9):e2789–e2798. doi: 10.1093/cid/ciaa1901

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.