PMID- 25722472 OWN - NLM STAT- MEDLINE DCOM- 20160325 LR - 20181113 IS - 2157-1422 (Electronic) IS - 2157-1422 (Linking) VI - 5 IP - 7 DP - 2015 Feb 26 TI - Tuberculosis and HIV Coinfection. PG - a017871 LID - 10.1101/cshperspect.a017871 [doi] LID - a017871 AB - Tuberculosis (TB) and human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) constitute the main burden of infectious disease in resource-limited countries. In the individual host, the two pathogens, Mycobacterium tuberculosis and HIV, potentiate one another, accelerating the deterioration of immunological functions. In high-burden settings, HIV coinfection is the most important risk factor for developing active TB, which increases the susceptibility to primary infection or reinfection and also the risk of TB reactivation for patients with latent TB. M. tuberculosis infection also has a negative impact on the immune response to HIV, accelerating the progression from HIV infection to AIDS. The clinical management of HIV-associated TB includes the integration of effective anti-TB treatment, use of concurrent antiretroviral therapy (ART), prevention of HIV-related comorbidities, management of drug cytotoxicity, and prevention/treatment of immune reconstitution inflammatory syndrome (IRIS). CI - Copyright (c) 2015 Cold Spring Harbor Laboratory Press; all rights reserved. FAU - Bruchfeld, Judith AU - Bruchfeld J AD - Unit of Infectious Diseases, Institution of Medicine Solna, Karolinska Institutet and Karolinska University Hospital, Stockholm SE-171 77, Sweden. FAU - Correia-Neves, Margarida AU - Correia-Neves M AD - Life and Health Sciences Research Institute (ICVS), School of Health Sciences, University of Minho, Braga 4710-057, Portugal ICVS/3B's, PT Government Associate Laboratory, Braga/Guimaraes 4710-057, Portugal. FAU - Kallenius, Gunilla AU - Kallenius G AD - Karolinska Institutet, Department of Clinical Science and Education, Stockholm SE-118 83, Sweden. LA - eng PT - Journal Article PT - Review DEP - 20150226 PL - United States TA - Cold Spring Harb Perspect Med JT - Cold Spring Harbor perspectives in medicine JID - 101571139 RN - 0 (Anti-HIV Agents) RN - 0 (Antitubercular Agents) SB - IM MH - Anti-HIV Agents/*therapeutic use MH - Antiretroviral Therapy, Highly Active MH - Antitubercular Agents/*therapeutic use MH - Coinfection/*drug therapy/*epidemiology MH - Disease Susceptibility MH - HIV Infections/*drug therapy MH - Humans MH - Immune Reconstitution Inflammatory Syndrome/drug therapy MH - Mycobacterium tuberculosis MH - Risk Factors MH - Treatment Outcome MH - Tuberculosis/*drug therapy PMC - PMC4484961 EDAT- 2015/02/28 06:00 MHDA- 2016/03/26 06:00 PMCR- 2017/07/01 CRDT- 2015/02/28 06:00 PHST- 2015/02/28 06:00 [entrez] PHST- 2015/02/28 06:00 [pubmed] PHST- 2016/03/26 06:00 [medline] PHST- 2017/07/01 00:00 [pmc-release] AID - cshperspect.a017871 [pii] AID - a017871 [pii] AID - 10.1101/cshperspect.a017871 [doi] PST - epublish SO - Cold Spring Harb Perspect Med. 2015 Feb 26;5(7):a017871. doi: 10.1101/cshperspect.a017871.