PMID- 31791908 OWN - NLM STAT- MEDLINE DCOM- 20200804 LR - 20200804 IS - 2212-5353 (Electronic) IS - 2212-5345 (Linking) VI - 58 IP - 1 DP - 2020 Jan TI - Immune reconstitution inflammatory syndrome in the lung in non-human immunodeficiency virus patients. PG - 36-44 LID - S2212-5345(19)30221-7 [pii] LID - 10.1016/j.resinv.2019.11.001 [doi] AB - BACKGROUND: We evaluated immune reconstitution inflammatory syndrome (IRIS) in the lung in non-human immunodeficiency virus (HIV) patients. METHODS: We reviewed articles related to IRIS occurrence in the lung in non-HIV patients using a PubMed search. The keywords used for the search were "immune reconstitution syndrome" and "non-HIV." Only patients with lung involvement were included. Those with suggested IRIS caused by white blood cell recovery were excluded. RESULTS: There were 37 cases of IRIS in the lung in non-HIV patients. Complicating infections included tuberculosis (n = 17), histoplasmosis (n = 9), aspergillosis (n = 5), cryptococcosis (n = 4), and Pneumocystis pneumonia (n = 2). We also evaluated the underlying diseases, IRIS pathogenesis, management, and prognosis. IRIS was most commonly encountered in patients treated with anti-tumor necrosis factor (TNF) antibody who developed disseminated or extrapulmonary tuberculosis, leading to treatment discontinuation. CONCLUSIONS: The diagnosis and management of IRIS in the lung in non-HIV patients should be investigated further, especially in the era of anti-TNF treatment. CI - Copyright (c) 2019 The Japanese Respiratory Society. Published by Elsevier B.V. All rights reserved. FAU - Fujita, Jiro AU - Fujita J AD - Department of Infectious Diseases, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, 903-0215, Japan. Electronic address: fujita@med.u-ryukyu.ac.jp. LA - eng PT - Journal Article PT - Systematic Review DEP - 20191129 PL - Netherlands TA - Respir Investig JT - Respiratory investigation JID - 101581124 RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Humans MH - *Immune Reconstitution Inflammatory Syndrome/diagnosis/therapy MH - Tumor Necrosis Factor-alpha OTO - NOTNLM OT - Anti-tumor necrosis factor OT - Immune reconstitution inflammatory syndrome OT - Lung OT - Non-HIV patients EDAT- 2019/12/04 06:00 MHDA- 2020/08/05 06:00 CRDT- 2019/12/04 06:00 PHST- 2019/09/12 00:00 [received] PHST- 2019/10/30 00:00 [revised] PHST- 2019/11/05 00:00 [accepted] PHST- 2019/12/04 06:00 [pubmed] PHST- 2020/08/05 06:00 [medline] PHST- 2019/12/04 06:00 [entrez] AID - S2212-5345(19)30221-7 [pii] AID - 10.1016/j.resinv.2019.11.001 [doi] PST - ppublish SO - Respir Investig. 2020 Jan;58(1):36-44. doi: 10.1016/j.resinv.2019.11.001. Epub 2019 Nov 29.