Declines in Lung Function After Antiretroviral Therapy Initiation in Adults With Human Immunodeficiency Virus and Tuberculosis: A Potential Manifestation of Respiratory Immune Reconstitution Inflammatory Syndrome

Author:

Auld Sara C1,Maenetje Pholo2,Ravimohan Shruthi3ORCID,Weissman Drew3,Ncube Itai2,Mlotshwa Mandla2,Ratsela Nelly2,Chase William3,Vangu Mboyo-Di-Tamba4,Wallis Robert2,Churchyard Gavin256,Kornfeld Hardy7,Bisson Gregory P38

Affiliation:

1. School of Medicine and Rollins School of Public Health, Emory University, Atlanta, Georgia

2. Aurum Institute, Johannesburg, South Africa

3. Department of Medicine, Division of Infectious Diseases, Perelman School of Medicine, University of Pennsylvania, Philadelphia

4. Nuclear Medicine, CM Johannesburg Academic Hospital, University of the Witwatersrand, Johannesburg, South Africa

5. Advancing Care and Treatment for TB/HIV, a Collaborating Centre of the South African Medical Research Council, Johannesburg, South Africa

6. School of Public Health, University of the Witwatersrand, Johannesburg, South Africa

7. Department of Medicine, University of Massachusetts Medical School, Worcester

8. Department of Biostatistics, Epidemiology, and Informatics, Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia

Abstract

Abstract End-organ impairment has received relatively little research attention as a possible manifestation of tuberculosis immune reconstitution inflammatory syndrome (TB-IRIS). In this prospective cohort study, one-half of adults with human immunodeficiency virus and pulmonary tuberculosis experienced meaningful declines in lung function on antiretroviral therapy, suggesting a role for lung function in TB-IRIS definitions.

Funder

National Institute of Allergy and Infectious Diseases

National Center for Advancing Translational Sciences

Emory University and University of Pennsylvania Centers for AIDS Research

Advancing Care and Treatment for TB/HIV

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Microbiology (medical)

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