PMID- 22807536 OWN - NLM STAT- MEDLINE DCOM- 20130130 LR - 20211021 IS - 1758-1052 (Electronic) IS - 0956-4624 (Print) IS - 0956-4624 (Linking) VI - 23 IP - 6 DP - 2012 Jun TI - Immune reconstitution inflammatory syndrome in HIV-infected patients with and without prior tuberculosis. PG - 419-23 LID - 10.1258/ijsa.2009.009439 [doi] AB - We conducted a nested case-control study in a cohort of patients initiating antiretroviral therapy (ART) to identify risk factors and common manifestations of immune reconstitution inflammatory syndrome (IRIS) and to validate the Robertson criteria for IRIS prediction. HIV-infected patients at the Tuberculosis Research Centre clinics, Chennai and Madurai, India, initiating ART between July 2004 and June 2005 were prospectively studied. Of 97 patients (62% men, median age 32 years, median CD4 count 63 cells/muL) included, 34 developed IRIS. IRIS was more common in patients with a prior history of tuberculosis (74% versus 52%, P = 0.04), median time to development was 46 days and the sensitivity and specificity of the Robertson criteria to predict IRIS were 91% and 22%, respectively. In this population, IRIS was a common event, more so among patients with prior tuberculosis, and neither the rate of CD4 increase nor the Robertson criteria were useful in predicting its development. FAU - Kumar, S Ramesh AU - Kumar SR AD - Tuberculosis Research Centre (ICMR), Chennai, India. FAU - Gopalan, Narendran AU - Gopalan N FAU - Patrawalla, Paru AU - Patrawalla P FAU - Menon, Pradeep AU - Menon P FAU - Mayer, Kenneth AU - Mayer K FAU - Swaminathan, Soumya AU - Swaminathan S LA - eng GR - D43 TW000237/TW/FIC NIH HHS/United States GR - D43-TW000237/TW/FIC NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PL - England TA - Int J STD AIDS JT - International journal of STD & AIDS JID - 9007917 RN - 0 (Anti-HIV Agents) SB - IM MH - Adult MH - Anti-HIV Agents/therapeutic use MH - CD4 Lymphocyte Count MH - Female MH - HIV Infections/drug therapy/*immunology MH - Humans MH - Immune Reconstitution Inflammatory Syndrome/*virology MH - India MH - Male MH - Prospective Studies MH - Randomized Controlled Trials as Topic MH - Risk Factors MH - Sensitivity and Specificity MH - Severity of Illness Index MH - Tuberculosis/*immunology/*virology PMC - PMC5592838 MID - NIHMS900265 EDAT- 2012/07/19 06:00 MHDA- 2013/01/31 06:00 PMCR- 2017/09/11 CRDT- 2012/07/19 06:00 PHST- 2012/07/19 06:00 [entrez] PHST- 2012/07/19 06:00 [pubmed] PHST- 2013/01/31 06:00 [medline] PHST- 2017/09/11 00:00 [pmc-release] AID - 23/6/419 [pii] AID - 10.1258/ijsa.2009.009439 [doi] PST - ppublish SO - Int J STD AIDS. 2012 Jun;23(6):419-23. doi: 10.1258/ijsa.2009.009439.