Cryptococcal Immune Reconstitution Inflammatory Syndrome after Antiretroviral Therapy in AIDS Patients with Cryptococcal Meningitis: A Prospective Multicenter Study
Author(s) -
Somnuek Sungkanuparph,
S. G. Filler,
Ploenchan Chetchotisakd,
Peter G. Pappas,
Tracy L. Nolen,
Weerawat Manosuthi,
Thanomsak Anekthana,
Michele I. Morris,
Khuanchai Supparatpinyo,
Heather Kopetskie,
Amy Kendrick,
Philip C. Johnson,
Jack D. Sobel,
Robert A. Larsen
Publication year - 2009
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1086/605497
Subject(s) - immune reconstitution inflammatory syndrome , medicine , cryptococcal meningitis , cryptococcosis , prospective cohort study , immunology , meningitis , antiretroviral therapy , human immunodeficiency virus (hiv) , viral disease , viral load , surgery
A prospective multicenter study of cryptococcal immune reconstitution inflammatory syndrome (IRIS) was conducted as a substudy of the Bacteriology and Mycology Study Group 3-01. Of 101 AIDS patients with cryptococcal meningitis who received highly active antiretroviral therapy (HAART), 13 experienced cryptococcal IRIS. No association between the timing of HAART initiation and the diagnosis of IRIS was identified. Increased baseline serum cryptococcal antigen (CrAg) titer was a risk factor for cryptococcal IRIS.
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