Determinants of immune reconstitution inflammatory syndrome in HIV type 1-infected patients with tuberculosis after initiation of antiretroviral therapy.

Breton, Guillaume; Duval, Xavier; Estellat, Candice; Poaletti, Xavier; Bonnet, Daniel; Mvondo Mvondo, David; Longuet, Pascale; Leport, Catherine et al. · Clin Infect Dis · 2004

case_series · Level IV

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Abstract

Immune reconstitution inflammatory syndrome (IRIS) occurred in 16 of 37 antiretroviral-naive patients who were treated subsequently for tuberculosis and human immunodeficiency virus (HIV) type 1 infection. IRIS was related to increases in the CD4 cell percentage and in the ratio of CD4 cells to CD8 cells after 1 month of antiretroviral therapy and to dissemination of tuberculosis. These results have implications for the diagnosis of IRIS and the understanding of its pathogenesis.

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