RT Journal Article SR Electronic T1 Adult respiratory distress syndrome as a severe immune reconstitution disease following the commencement of highly active antiretroviral therapy JF Sexually Transmitted Infections JO Sex Transm Infect FD BMJ Publishing Group Ltd SP 337 OP 338 DO 10.1136/sti.79.4.337 VO 79 IS 4 A1 N R Goldsack A1 S Allen A1 M C I Lipman YR 2003 UL http://sti.bmj.com/content/79/4/337.abstract AB We report a patient who developed adult respiratory distress syndrome (ARDS) secondary to Mycobacterium tuberculosis as an immune reconstitution disease. This complication occurred 14 days after the commencement of highly active antiretroviral therapy (HAART) for advanced HIV infection. The case emphasises that immune reconstitution can be an extremely aggressive complication of HAART.