A case of tuberculosis showing immune reconstitution syndrome after the initiation of antiretroviral therapy for HIV infection
Taniguchi, H.; Izumi, S.
Kekkaku 82(1): 27-31
2007
ISSN/ISBN: 0022-9776 PMID: 17310779 Document Number: 605407
Abstract A 27-year-old man admitted for high fever, wet cough and abnormality on his chest radiograph. He was diagnosed as pulmonary tuberculosis, and started treatment with INH, RFP, EB, and PZA. After other examinations, he was diagnosed as having a acquired immunodeficiency syndrome, too. We gave him zidovudine and lamivudine/ abacavir sulfate to treat HIV infection. After starting treatment with anti-tuberculosis drugs his fever alleviated, but after 10 days from the start of anti-HIV drugs, he showed high fever, and abnormality of his chest radiograph exacervated. We diagnosed him as immune reconstitution syndrome, and gave him prednisolone 30 mg/day. His symptoms improved gradually.
Document emailed within 1 workday
Related Documents
Kumarasamy, N.; Chaguturu, S.; Mayer, K.H.; Solomon, S.; Yepthomi, H.Tokugha.; Balakrishnan, P.; Flanigan, T.P. 2004: Incidence of immune reconstitution syndrome in HIV/tuberculosis-coinfected patients after initiation of generic antiretroviral therapy in India Journal of Acquired Immune Deficiency Syndromes 37(5): 1574-1576Sharma, P.; Bhardwaj, M.; Kar, H.K. 2009: Inoculation leprosy and HIV co-infection: a rare case with nerve involvement preceding development of skin patch and type 1 reaction as immune reconstitution syndrome following antiretroviral therapy Indian Journal of Leprosy 81(2): 75-79
Dunkley-Thompson, J.; Pierre, R.B.; Steel-Duncan, J.; Palmer, P.; Davis, D.; Figueroa, J.P.; Christie, C.D.C. 2008: Bacille Calmette-Guérin lymphadenitis and immune reconstitution syndrome in HIV-infected children on antiretroviral therapy in Jamaica West Indian Medical Journal 57(3): 302-306
Tieu, H.V.; Ananworanich, J.; Avihingsanon, A.; Apateerapong, W.; Sirivichayakul, S.; Siangphoe, U.; Klongugkara, S.; Boonchokchai, B.; Hammer, S.M.; Manosuthi, W. 2009: Immunologic markers as predictors of tuberculosis-associated immune reconstitution inflammatory syndrome in HIV and tuberculosis coinfected persons in Thailand Aids Research and Human Retroviruses 25(11): 1083-1089
Kiertiburanakul, S. 2010: Immune reconstitution inflammatory syndrome in HIV-infected patients with tuberculosis Journal of the Medical Association of Thailand 93(2): 257-264
Imamura, E.; Yamashita, H.; Fukuhara, T.; Sawa, H.; Nagashima, K.; Kuwabara, M.; Tokinobu, H. 2007: Case of highly active anti-retroviral therapy-induced immune reconstitution inflammatory syndrome in AIDS-related progressive multifocal leukoencephalopathy Rinsho Shinkeigaku 47(10): 650-656
Iurin, O.G. 2007: Indications for initiation of antiretroviral therapy in patients with HIV infection. Choice of first-line drugs and schemes of therapy Terapevticheskii Arkhiv 79(11): 67-69
Desmonde, S.; Dicko, F.; Koueta, F.; Eboua, T.; Balestre, E.; Amani-Bosse, C.; Aka, E.A.; Lawson-Evi, K.; Amorissani-Folquet, M.; Kouakou, K.; Koumakpai, S.; Renner, L.; Signaté Sy, H.; Leroy, Vériane.; Zannou, D.Marcel.; Ahouada, C.; Akakpo, J.; Ahomadegbé, C.; Bashi, J.; Gougounon-Houéto, A.; Azon-Kouanou, Aèle.; Houngbé, F.; Sehonou, J.; Koumakpaï, S.; Alihonou, F.; d'Almeida, M.; Hodonou, I.; Hounhoui, G.; Sagbo, G.; Tossa-Bagnan, Lïla.; Adjide, H.; Drabo, J.; Bognounou, Ré.; Dienderé, A.; Traore, E.; Zoungrana, L.; Zerbo, Béatrice.; Sawadogo, A 2014: Association between age at antiretroviral therapy initiation and 24-month immune response in West-African HIV-infected children Aids 28(11): 1645-1655
Muhamadi, L.; Tumwesigye, N.M.; Kadobera, D.; Marrone, G.; Wabwire-Mangen, F.; Pariyo, G.; Peterson, S.; Ekström, A.M. 2011: Lack of pre-antiretroviral care and competition from traditional healers, crucial risk factors for very late initiation of antiretroviral therapy for HIV--a case-control study from eastern Uganda Pan African Medical Journal 8: 40
Karmakar, S.; Sharma, S.K.; Vashishtha, R.; Sharma, A.; Ranjan, S.; Gupta, D.; Sreenivas, V.; Sinha, S.; Biswas, A.; Gulati, V. 2011: Clinical characteristics of tuberculosis-associated immune reconstitution inflammatory syndrome in North Indian population of HIV/AIDS patients receiving HAART Clinical and Developmental Immunology 2011: 239021
Oliver, B.G.; Elliott, J.H.; Price, P.; Phillips, M.; Saphonn, V.; Vun, M.C.; Kaldor, J.M.; Cooper, D.A.; French, M.A. 2010: Mediators of innate and adaptive immune responses differentially affect immune restoration disease associated with Mycobacterium tuberculosis in HIV patients beginning antiretroviral therapy Journal of Infectious Diseases 202(11): 1728-1737
Sharma, S.K.; Dhooria, S.; Barwad, P.; Kadhiravan, T.; Ranjan, S.; Miglani, S.; Gupta, D. 2010: A study of TB-associated immune reconstitution inflammatory syndrome using the consensus case-definition Indian Journal of Medical Research 131: 804-808
Satti, H.; McLaughlin, M.M.; Hedt-Gauthier, B.; Atwood, S.S.; Omotayo, D.B.; Ntlamelle, L.; Seung, K.J. 2012: Outcomes of multidrug-resistant tuberculosis treatment with early initiation of antiretroviral therapy for HIV co-infected patients in Lesotho Plos one 7(10): E46943
Vijayan, T.; Semitala, F.C.; Matsiko, N.; Elyanu, P.; Namusobya, J.; Havlir, D.V.; Kamya, M.; Geng, E.H. 2013: Changes in the timing of antiretroviral therapy initiation in HIV-infected patients with tuberculosis in Uganda: a study of the diffusion of evidence into practice in the global response to HIV/AIDS Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America 57(12): 1766-1772
Muhamadi, L.; Nsabagasani, X.; Tumwesigye, M.Nazarius.; Wabwire-Mangen, F.; Ekström, A-Mia.; Peterson, S.; Pariyo, G. 2010: Inadequate pre-antiretroviral care, stock-out of antiretroviral drugs and stigma: policy challenges/bottlenecks to the new WHO recommendations for earlier initiation of antiretroviral therapy (CD<350 cells/microL) in eastern Uganda Health Policy 97(2-3): 187-194
MacPherson, P.; Lalloo, D.G.; Webb, E.L.; Maheswaran, H.; Choko, A.T.; Makombe, S.D.; Butterworth, A.E.; van Oosterhout, J.J.; Desmond, N.; Thindwa, D.; Squire, S.B.; Hayes, R.J.; Corbett, E.L. 2014: Effect of optional home initiation of HIV care following HIV self-testing on antiretroviral therapy initiation among adults in Malawi: a randomized clinical trial JAMA 312(4): 372-379
Kibret, K.T.; Yalew, A.W.; Belaineh, B.G.; Asres, M.M. 2013: Determinant factors associated with occurrence of tuberculosis among adult people living with HIV after antiretroviral treatment initiation in Addis Ababa, Ethiopia: a case control study Plos one 8(5): E64488
Haddow, L.J.; Easterbrook, P.J.; Mosam, A.; Khanyile, N.G.; Parboosing, R.; Moodley, P.; Moosa, M.-Y.S. 2009: Defining immune reconstitution inflammatory syndrome: evaluation of expert opinion versus 2 case definitions in a South African cohort Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America 49(9): 1424-1432
Landay, A.L.; Bettendorf, D.; Chan, E.; Spritzler, J.; Schmitz, J.L.; Bucy, R.P.; Gonzalez, C.J.; Schnizlein-Bick, C.T.; Evans, T.; Squires, K.E.; Phair, J.P. 2002: Evidence of immune reconstitution in antiretroviral drug-experienced patients with advanced HIV disease Aids Research and Human Retroviruses 18(2): 95-102
Patel, M.R.; Nana, M.; Yotebieng, M.; Tabala, M.; Behets, F.; Van Rie, A. 2014: Delayed antiretroviral therapy despite integrated treatment for tuberculosis and HIV infection International Journal of Tuberculosis and Lung Disease: the Official Journal of the International Union Against Tuberculosis and Lung Disease 18(6): 694-699