Low incidence of the immune reconstitution inflammatory syndrome among HIV-infected patients starting antiretroviral therapy in Gabon: a prospective cohort study.
Identifieur interne : 000D20 ( PubMed/Corpus ); précédent : 000D19; suivant : 000D21Low incidence of the immune reconstitution inflammatory syndrome among HIV-infected patients starting antiretroviral therapy in Gabon: a prospective cohort study.
Auteurs : S. Janssen ; K. Osbak ; R. Holman ; S. Hermans ; A. Moekotte ; M. Knap ; E. Rossatanga ; M. Massinga-Loembe ; A. Alabi ; A. Adegnika ; C. Meenken ; M. Van Vugt ; P G Kremsner ; G. Meintjes ; T. Van Der Poll ; M P GrobuschSource :
- Infection [ 1439-0973 ] ; 2017.
Abstract
There is a paucity of data on the immune reconstitution inflammatory syndrome (IRIS) in the Central African region. We followed ART-naive HIV-infected patients initiating antiretroviral therapy in an HIV clinic in Gabon, for 6 months. Among 101 patients, IRIS was diagnosed in five. All IRIS cases were mucocutaneous manifestations. There were no cases of tuberculosis (TB) IRIS, but active TB (n = 20) was associated with developing other forms of IRIS (p = 0.02). Six patients died. The incidence of IRIS is low in Gabon, with mild, mucocutaneous manifestations.
DOI: 10.1007/s15010-017-1000-9
PubMed: 28349491
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pubmed:28349491Le document en format XML
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<front><div type="abstract" xml:lang="en">There is a paucity of data on the immune reconstitution inflammatory syndrome (IRIS) in the Central African region. We followed ART-naive HIV-infected patients initiating antiretroviral therapy in an HIV clinic in Gabon, for 6 months. Among 101 patients, IRIS was diagnosed in five. All IRIS cases were mucocutaneous manifestations. There were no cases of tuberculosis (TB) IRIS, but active TB (n = 20) was associated with developing other forms of IRIS (p = 0.02). Six patients died. The incidence of IRIS is low in Gabon, with mild, mucocutaneous manifestations.</div>
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<Abstract><AbstractText>There is a paucity of data on the immune reconstitution inflammatory syndrome (IRIS) in the Central African region. We followed ART-naive HIV-infected patients initiating antiretroviral therapy in an HIV clinic in Gabon, for 6 months. Among 101 patients, IRIS was diagnosed in five. All IRIS cases were mucocutaneous manifestations. There were no cases of tuberculosis (TB) IRIS, but active TB (n = 20) was associated with developing other forms of IRIS (p = 0.02). Six patients died. The incidence of IRIS is low in Gabon, with mild, mucocutaneous manifestations.</AbstractText>
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<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Janssen</LastName>
<ForeName>S</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Division of Internal Medicine, Department of Infectious Diseases, Center of Tropical Medicine and Travel Medicine, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1100 DD, Amsterdam, The Netherlands. s.janssen@amc.nl.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Centre de Recherches Médicales en Lambaréné, Lambaréné, Gabon. s.janssen@amc.nl.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Centre de Traitement Ambulatoire Lambaréné, Lambaréné, Gabon. s.janssen@amc.nl.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Institute of Tropical Medicine, University of Tübingen, Tübingen, Germany. s.janssen@amc.nl.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Clinical Infectious Diseases Research Initiative, Institute of Infectious Disease and Molecular Medicine, University of Cape Town, Cape Town, South Africa. s.janssen@amc.nl.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Division of Internal Medicine, Department of Infectious Diseases, Center for Experimental and Molecular Medicine, Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands. s.janssen@amc.nl.</Affiliation>
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<Author ValidYN="Y"><LastName>Osbak</LastName>
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</AffiliationInfo>
<AffiliationInfo><Affiliation>Centre de Recherches Médicales en Lambaréné, Lambaréné, Gabon.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Centre de Traitement Ambulatoire Lambaréné, Lambaréné, Gabon.</Affiliation>
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<Author ValidYN="Y"><LastName>Holman</LastName>
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</AffiliationInfo>
<AffiliationInfo><Affiliation>Faculty of Health Sciences, Desmond Tutu HIV Centre, Institute for Infectious Disease and Molecular Medicine, University of Cape Town, Cape Town, South Africa.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Internal Medicine, School of Medicine, Makerere University College of Health Sciences, Kampala, Uganda.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Moekotte</LastName>
<ForeName>A</ForeName>
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<AffiliationInfo><Affiliation>Centre de Recherches Médicales en Lambaréné, Lambaréné, Gabon.</Affiliation>
</AffiliationInfo>
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</AffiliationInfo>
<AffiliationInfo><Affiliation>Centre de Recherches Médicales en Lambaréné, Lambaréné, Gabon.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Rossatanga</LastName>
<ForeName>E</ForeName>
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</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Massinga-Loembe</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Centre de Recherches Médicales en Lambaréné, Lambaréné, Gabon.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Institute of Tropical Medicine, University of Tübingen, Tübingen, Germany.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Alabi</LastName>
<ForeName>A</ForeName>
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</AffiliationInfo>
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</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Adegnika</LastName>
<ForeName>A</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Centre de Traitement Ambulatoire Lambaréné, Lambaréné, Gabon.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Institute of Tropical Medicine, University of Tübingen, Tübingen, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Meenken</LastName>
<ForeName>C</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Department of Ophthalmology, VU Medical Center, Vrije Universiteit, Amsterdam, The Netherlands.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>van Vugt</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
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</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Kremsner</LastName>
<ForeName>P G</ForeName>
<Initials>PG</Initials>
<AffiliationInfo><Affiliation>Centre de Recherches Médicales en Lambaréné, Lambaréné, Gabon.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Institute of Tropical Medicine, University of Tübingen, Tübingen, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Meintjes</LastName>
<ForeName>G</ForeName>
<Initials>G</Initials>
<AffiliationInfo><Affiliation>Clinical Infectious Diseases Research Initiative, Institute of Infectious Disease and Molecular Medicine, University of Cape Town, Cape Town, South Africa.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>van der Poll</LastName>
<ForeName>T</ForeName>
<Initials>T</Initials>
<AffiliationInfo><Affiliation>Division of Internal Medicine, Department of Infectious Diseases, Center for Experimental and Molecular Medicine, Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Grobusch</LastName>
<ForeName>M P</ForeName>
<Initials>MP</Initials>
<AffiliationInfo><Affiliation>Division of Internal Medicine, Department of Infectious Diseases, Center of Tropical Medicine and Travel Medicine, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1100 DD, Amsterdam, The Netherlands.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Centre de Recherches Médicales en Lambaréné, Lambaréné, Gabon.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Institute of Tropical Medicine, University of Tübingen, Tübingen, Germany.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Clinical Infectious Diseases Research Initiative, Institute of Infectious Disease and Molecular Medicine, University of Cape Town, Cape Town, South Africa.</Affiliation>
</AffiliationInfo>
</Author>
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