Immune reconstitution inflammatory syndrome associated with Mycobacterium tuberculosis infection : a systematic review
HIV and tuberculosis (TB) are leading global causes of mortality and morbidity. Highly active antiretroviral therapy (HAART) is often initiated in patients being treated for TB. The immune recovery associated with HAART results in dramatic clinical benefits, but this restoration of immunity may result in immunopathological reactions. The immune reconstitution inflammatory syndrome can result in fever, nodal enlargement, and worsening pulmonary infiltrates observed on a chest radiograph, with or without recurrent respiratory symptoms. Several other manifestations have also been described. As a consequence, the use of HAART might not be appropriate during the first weeks of anti-TB therapy in HIV-infected patients. In this review, we summarize the incidence, clinical presentations, and potential mechanisms of these conditions and we describe therapeutic methods.
Medienart: |
E-Artikel |
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Erscheinungsjahr: |
2010 |
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Erschienen: |
2010 |
Enthalten in: |
Zur Gesamtaufnahme - volume:14 |
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Enthalten in: |
International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases - 14(2010), 4 vom: 04. Apr., Seite e283-91 |
Sprache: |
Englisch |
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Beteiligte Personen: |
Leone, Sebastiano [VerfasserIn] |
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Links: |
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Themen: |
Anti-Inflammatory Agents |
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Anmerkungen: |
Date Completed 28.06.2010 Date Revised 01.12.2018 published: Print-Electronic Citation Status MEDLINE |
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doi: |
10.1016/j.ijid.2009.05.016 |
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funding: |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
NLM190467428 |
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520 | |a HIV and tuberculosis (TB) are leading global causes of mortality and morbidity. Highly active antiretroviral therapy (HAART) is often initiated in patients being treated for TB. The immune recovery associated with HAART results in dramatic clinical benefits, but this restoration of immunity may result in immunopathological reactions. The immune reconstitution inflammatory syndrome can result in fever, nodal enlargement, and worsening pulmonary infiltrates observed on a chest radiograph, with or without recurrent respiratory symptoms. Several other manifestations have also been described. As a consequence, the use of HAART might not be appropriate during the first weeks of anti-TB therapy in HIV-infected patients. In this review, we summarize the incidence, clinical presentations, and potential mechanisms of these conditions and we describe therapeutic methods | ||
650 | 4 | |a Journal Article | |
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700 | 1 | |a Giglio, Sergio |e verfasserin |4 aut | |
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700 | 1 | |a Ippolito, Giuseppe |e verfasserin |4 aut | |
700 | 1 | |a Acone, Nicola |e verfasserin |4 aut | |
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