HIV Infection–Related Tuberculosis: Clinical Manifestations and Treatment
Author(s) -
Timothy R. Sterling,
Paul A. Pham,
Richard E. Chaisson
Publication year - 2010
Publication title -
clinical infectious diseases
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1086/651495
Subject(s) - medicine , tuberculosis , subclinical infection , disease , immunology , human immunodeficiency virus (hiv) , antiretroviral therapy , drug , viral disease , pharmacotherapy , immunopathology , virology , viral load , pathology , pharmacology
Several aspects of human immunodeficiency virus (HIV) infection-related tuberculosis (TB) and its treatment differ from those of TB in HIV-uninfected persons. The risk of TB and the clinical and radiographic manifestations of disease are primary examples. Antiretroviral therapy has a profound effect on lowering the risk of TB in HIV-infected persons, but it can also be associated with immune reconstitution inflammatory disease and unmasking of previously subclinical disease. There are also differences in treatment of HIV infection-related TB because of overlapping drug toxicities and drug-drug interactions between antiretroviral therapy and anti-TB therapy.
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