PMID- 23011868 OWN - NLM STAT- MEDLINE DCOM- 20130919 LR - 20211021 IS - 2325-9574 (Print) IS - 2325-9582 (Electronic) IS - 2325-9574 (Linking) VI - 12 IP - 1 DP - 2013 Jan-Feb TI - Clinical outcomes among HIV/tuberculosis-coinfected patients developing immune reconstitution inflammatory syndrome after HAART initiation in South India. PG - 28-31 LID - 10.1177/1545109712457711 [doi] AB - INTRODUCTION: We determine the frequency and immunological outcome of developing immune reconstitution inflammatory syndrome (IRIS) among HIV/tuberculosis (TB)-coinfected Indians receiving highly active antiretroviral therapy (HAART). METHODS: Patients coinfected with TB and HIV who initiated HAART were classified based on treatment outcomes (IRIS and non-IRIS) utilizing an observational HIV/AIDS cohort. RESULTS: A total of 1731 HIV/TB-coinfected patients initiated HAART, and 95 of these patients (5.5%) developed TB-IRIS, with an incidence rate of 0.26 per 100 person-years. Patients who developed IRIS had significantly higher CD4 counts than non-IRIS patients at the time of initiating HAART, as well as after 6 months, 18 months, and 24 months following HAART initiation (P < .05). CONCLUSIONS: HIV/TB-coinfected patients who developed IRIS following HAART initiation had equivalent clinical outcomes compared with their HIV/TB-coinfected counterparts who did not develop IRIS, suggesting minimal long-term risks associated with IRIS. FAU - Kumarasamy, N AU - Kumarasamy N AD - YRG Centre for AIDS Research and Education, Voluntary Health Services (VHS), Chennai, India. kumarasamy@yrgcare.org FAU - Venkatesh, Kartik K AU - Venkatesh KK FAU - Vignesh, R AU - Vignesh R FAU - Devaleenal, B AU - Devaleenal B FAU - Poongulali, S AU - Poongulali S FAU - Yepthomi, Tokuga AU - Yepthomi T FAU - Flanigan, Timothy P AU - Flanigan TP FAU - Benson, Constance AU - Benson C FAU - Mayer, Kenneth H AU - Mayer KH LA - eng GR - D43 TW000237/TW/FIC NIH HHS/United States GR - U01 AI069432/AI/NIAID NIH HHS/United States GR - U01AI069432/AI/NIAID NIH HHS/United States GR - D43TW00237/TW/FIC NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20120924 PL - United States TA - J Int Assoc Provid AIDS Care JT - Journal of the International Association of Providers of AIDS Care JID - 101603896 SB - IM MH - Adult MH - *Antiretroviral Therapy, Highly Active MH - CD4 Lymphocyte Count MH - Female MH - HIV Infections/*drug therapy/*epidemiology MH - Humans MH - Immune Reconstitution Inflammatory Syndrome/diagnosis/*epidemiology MH - Incidence MH - India/epidemiology MH - Male MH - Tuberculosis/*epidemiology PMC - PMC5578704 MID - NIHMS899998 COIS- Declaration of Conflicting Interests The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. EDAT- 2012/09/27 06:00 MHDA- 2013/09/21 06:00 PMCR- 2017/08/31 CRDT- 2012/09/27 06:00 PHST- 2012/09/27 06:00 [entrez] PHST- 2012/09/27 06:00 [pubmed] PHST- 2013/09/21 06:00 [medline] PHST- 2017/08/31 00:00 [pmc-release] AID - 1545109712457711 [pii] AID - 10.1177/1545109712457711 [doi] PST - ppublish SO - J Int Assoc Provid AIDS Care. 2013 Jan-Feb;12(1):28-31. doi: 10.1177/1545109712457711. Epub 2012 Sep 24.