Cryptococcal immune reconstitution inflammatory syndrome in HIV-1-infected individuals: proposed clinical case definitions

LJ Haddow, R Colebunders, G Meintjes, SD Lawn, JH Elliott, YC Manabe, PR Bohjanen, S Sungkanuparph, PJ Easterbrook, MA French, DR Boulware

    Onderzoeksoutput: Bijdrage aan tijdschriftA1: Web of Science-artikel

    Uittreksel

    Cryptococcal immune reconstitution inflammatory syndrome (IRIS) may present as a clinical worsening or new presentation of cryptococcal disease after initiation of antiretroviral therapy (ART), and is thought to be caused by recovery of cryptococcus-specific immune responses. We have reviewed reports of cryptococcal IRIS and have developed a consensus case definition specifically for paradoxical crytopcoccal IRIS in patients with HIV-1 and known cryptococcal disease before ART, and a separate definition for incident cryptococcosis developed during ART (termed ART-associated cryptococcosis), for which a proportion of cases are likely to be unmasking cryptococcal IRIS. These structured case definitions are intended to aid design of future clinical, epidemiological, and immunopathological studies of cryptococcal IRIS, to standardise diagnostic criteria, and to facilitate comparisons between studies. As for definitions of tuberculosis-associated IRIS, definitions for cryptococcal IRIS should be regarded as preliminary until further insights into the immunopathology of IRIS permit their refinement
    TaalEngels
    TijdschriftLancet Infectious Diseases
    Volume10
    Exemplaarnummer11
    Pagina's (van-tot)791-802
    Aantal pagina's12
    ISSN1473-3099
    DOI's
    StatusGepubliceerd - 2010

    Trefwoorden

    • B780-tropische-geneeskunde

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