Immune reconstitution syndromes in human immunodeficiency virus infection following effective antiretroviral therapy

被引:39
作者
Behrens, GMN [1 ]
Meyer, D [1 ]
Stoll, M [1 ]
Schmidt, RE [1 ]
机构
[1] Hannover Med Sch, Dept Clin Immunol, D-30623 Hannover, Germany
关键词
D O I
10.1016/S0171-2985(00)80065-0
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Effective antiretroviral therapy leads to rapid decrease in plasma HIV-I RNA, frequently followed by an increase in CD4 T-helper cell counts. The improvement of immune function during highly active antiretroviral therapy has important impact on natural history of AIDS-related opportunistic disorders. Here we describe cases of unusual clinical inflammatory syndromes in CMV retinitis, hepatitis C, and atypical mycobacteriosis in HIV-1 infected patients associated with the initiation of antiretroviral therapy. Pathogenetic implications and therapeutic management of these new immunopathologic syndromes are discussed.
引用
收藏
页码:186 / 193
页数:8
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