PMID- 28681821 OWN - NLM STAT- MEDLINE DCOM- 20180316 LR - 20180316 IS - 1998-3646 (Electronic) IS - 0255-0857 (Linking) VI - 35 IP - 2 DP - 2017 Apr-Jun TI - Risk factors and frequency of tuberculosis-associated immune reconstitution inflammatory syndrome among HIV/Tuberculosis co-infected patients in Southern India. PG - 279-281 LID - 10.4103/ijmm.IJMM_16_163 [doi] AB - Immune reconstitution inflammatory syndrome (IRIS) continues to be a complication in HIV/tuberculosis (TB) co-infected patients initiating highly active antiretroviral therapy (HAART). The aim of this study was to evaluate the risk factors associated with developing IRIS to identify a possible biomarker to predict or diagnose IRIS in patients initiating HAART. A total of 175 HIV/TB co-infected patients initiating HAART were followed up longitudinally during September 2010 to May 2013 attending a HIV care clinic in Chennai. Patients were followed up longitudinally after HAART initiation and baseline demographic, laboratory parameters and treatment characteristics between patients with IRIS events and those without IRIS events were compared. Chi-square or Fisher's exact test for categorical variables and a Wilcoxon rank-sum test for continuous variables were performed using SPSS, version 12.0 software. Patients with IRIS had a significantly lower median baseline CD4+ T-cell count (P = 0.0039). There were no differences in terms of sex, CD4 T-cell %, plasma viral load, time interval between initiating ATT and HAART between the IRIS and non-IRIS patients. Low CD4+ T-cell count (<100 cells/muL) could be used as a marker to screen and monitor patients initiating HAART. FAU - Vignesh, Ramachandran AU - Vignesh R AD - Infectious Diseases Laboratory, Y. R. Gaitonde Centre for AIDS Research and Education, Chennai, Tamil Nadu, India; Laboratory-based Department, Universiti Kuala Lumpur Royal College of Medicine Perak, Ipoh, Malaysia. FAU - Swathirajan, Chinnambedu R AU - Swathirajan CR AD - Infectious Diseases Laboratory, Y. R. Gaitonde Centre for AIDS Research and Education, Chennai, Tamil Nadu, India. FAU - Solomon, Sunil S AU - Solomon SS AD - Medical Centre, Y. R. Gaitonde Centre for AIDS Research and Education, Chennai, Tamil Nadu, India; Department of Infectious Diseases, Johns Hopkins School of Medicine, Baltimore, USA. FAU - Shankar, Esaki Muthu AU - Shankar EM AD - Infectious Diseases Laboratory, Y. R. Gaitonde Centre for AIDS Research and Education, Chennai, Tamil Nadu, India. FAU - Murugavel, Kailapuri G AU - Murugavel KG AD - Infectious Diseases Laboratory, Y. R. Gaitonde Centre for AIDS Research and Education, Chennai, Tamil Nadu, India. LA - eng PT - Journal Article PL - United States TA - Indian J Med Microbiol JT - Indian journal of medical microbiology JID - 8700903 RN - 0 (Anti-Retroviral Agents) SB - IM MH - Adult MH - Anti-Retroviral Agents/*administration & dosage/*adverse effects MH - CD4 Lymphocyte Count MH - Female MH - Follow-Up Studies MH - HIV Infections/*complications/*drug therapy MH - Humans MH - Immune Reconstitution Inflammatory Syndrome/*epidemiology MH - India/epidemiology MH - Male MH - Prospective Studies MH - Risk Factors MH - Sex Distribution MH - Tuberculosis/*complications MH - Viral Load EDAT- 2017/07/07 06:00 MHDA- 2018/03/17 06:00 CRDT- 2017/07/07 06:00 PHST- 2017/07/07 06:00 [entrez] PHST- 2017/07/07 06:00 [pubmed] PHST- 2018/03/17 06:00 [medline] AID - IndianJMedMicrobiol_2017_35_2_279_209570 [pii] AID - 10.4103/ijmm.IJMM_16_163 [doi] PST - ppublish SO - Indian J Med Microbiol. 2017 Apr-Jun;35(2):279-281. doi: 10.4103/ijmm.IJMM_16_163.