Le SIDA au Ghana (serveur d'exploration)

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Resolution of the acute-phase response in West African patients receiving treatment for pulmonary tuberculosis.

Identifieur interne : 000776 ( PubMed/Curation ); précédent : 000775; suivant : 000777

Resolution of the acute-phase response in West African patients receiving treatment for pulmonary tuberculosis.

Auteurs : S D Lawn [Royaume-Uni] ; J. Obeng ; J W Acheampong ; G E Griffin

Source :

RBID : pubmed:10777083

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Abstract

The Komfo Anokye Teaching Hospital, Kumasi, Ghana, West Africa.

PubMed: 10777083

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pubmed:10777083

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<term>Acute-Phase Reaction (blood)</term>
<term>Acute-Phase Reaction (etiology)</term>
<term>Acute-Phase Reaction (immunology)</term>
<term>Adult</term>
<term>Antitubercular Agents (therapeutic use)</term>
<term>Biomarkers (blood)</term>
<term>Blood Sedimentation</term>
<term>Body Weight</term>
<term>C-Reactive Protein (drug effects)</term>
<term>C-Reactive Protein (metabolism)</term>
<term>Case-Control Studies</term>
<term>Drug Monitoring</term>
<term>Female</term>
<term>Ghana</term>
<term>Hemoglobins (analysis)</term>
<term>Humans</term>
<term>Male</term>
<term>Receptors, Interleukin-2 (blood)</term>
<term>Reproducibility of Results</term>
<term>Sputum (microbiology)</term>
<term>Time Factors</term>
<term>Tuberculosis, Pulmonary (complications)</term>
<term>Tuberculosis, Pulmonary (drug therapy)</term>
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<term>Adulte</term>
<term>Antituberculeux (usage thérapeutique)</term>
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<term>Femelle</term>
<term>Ghana</term>
<term>Humains</term>
<term>Hémoglobines (analyse)</term>
<term>Marqueurs biologiques (sang)</term>
<term>Mâle</term>
<term>Poids du corps</term>
<term>Protéine C-réactive ()</term>
<term>Protéine C-réactive (métabolisme)</term>
<term>Reproductibilité des résultats</term>
<term>Réaction inflammatoire aigüe (immunologie)</term>
<term>Réaction inflammatoire aigüe (sang)</term>
<term>Réaction inflammatoire aigüe (étiologie)</term>
<term>Récepteurs à l'interleukine-2 (sang)</term>
<term>Surveillance pharmacologique</term>
<term>Sédimentation du sang</term>
<term>Tuberculose pulmonaire ()</term>
<term>Tuberculose pulmonaire (immunologie)</term>
<term>Tuberculose pulmonaire (microbiologie)</term>
<term>Tuberculose pulmonaire (traitement médicamenteux)</term>
<term>Études cas-témoins</term>
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<term>Acute-Phase Reaction</term>
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<keywords scheme="MESH" qualifier="immunologie" xml:lang="fr">
<term>Réaction inflammatoire aigüe</term>
<term>Tuberculose pulmonaire</term>
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<term>Expectoration</term>
<term>Tuberculose pulmonaire</term>
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<term>Sputum</term>
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<term>Protéine C-réactive</term>
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<term>Marqueurs biologiques</term>
<term>Réaction inflammatoire aigüe</term>
<term>Récepteurs à l'interleukine-2</term>
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<keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr">
<term>Tuberculose pulmonaire</term>
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<term>Antituberculeux</term>
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<term>Adult</term>
<term>Blood Sedimentation</term>
<term>Body Weight</term>
<term>Case-Control Studies</term>
<term>Drug Monitoring</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Reproducibility of Results</term>
<term>Time Factors</term>
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<div type="abstract" xml:lang="en">The Komfo Anokye Teaching Hospital, Kumasi, Ghana, West Africa.</div>
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<Title>The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease</Title>
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<AbstractText Label="SETTING" NlmCategory="METHODS">The Komfo Anokye Teaching Hospital, Kumasi, Ghana, West Africa.</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To evaluate simple and commonly used parameters of the acute-phase response as correlates of successful resolution of smear-positive pulmonary tuberculosis (PTB) during drug treatment.</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">Serum C-reactive protein (CRP) concentration, erythrocyte sedimentation rate (ESR), body weight, and blood haemoglobin were measured in human immunodeficiency virus (HIV) negative Ghanaian patients with PTB (n = 15) and in age- and sex-matched healthy controls (n = 15). These parameters were subsequently measured in patients after 1, 2 and 3 months of antituberculosis treatment. Serum concentrations of soluble interleukin-2-receptor-alpha (sCD25) were also measured as a comparative index of resolution of the systemic inflammatory process.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Anti-tuberculosis treatment resulted in sputum smear conversion in all 15 patients. After one month of treatment, reductions in serum CRP concentration (>20%) and increases in haemoglobin concentration (>0.4 g/dl) occurred in the majority of patients and correlated with steep reductions in serum levels of sCD25. In contrast, weight loss and elevated ESR were slower to resolve, and were insensitive early markers of response to treatment.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">A fall in serum CRP and a rise in blood haemoglobin are correlates of the initial response to drug treatment of PTB. These parameters may assist in the evaluation of empiric trials of treatment in microbiologically unconfirmed cases of suspected PTB.</AbstractText>
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<LastName>Lawn</LastName>
<ForeName>S D</ForeName>
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