2018
DOI: 10.1016/j.eimc.2017.11.002
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Immune reconstitution inflammatory syndrome in HIV-infected patients with Pneumocystis jirovecii pneumonia

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Cited by 14 publications
(11 citation statements)
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“…15 In a significant proportion of 12.4% of PCP-cases paradoxical IRIS was identified as clinical complication. This was slightly more frequent than in other studies such as the trial by Grant et al with 8%, 8 or than in another smaller study with 5%, 17 respectively. In addition, former observations showed no increased mortality 8 which is consistent with our findings.…”
Section: Discussioncontrasting
confidence: 50%
“…15 In a significant proportion of 12.4% of PCP-cases paradoxical IRIS was identified as clinical complication. This was slightly more frequent than in other studies such as the trial by Grant et al with 8%, 8 or than in another smaller study with 5%, 17 respectively. In addition, former observations showed no increased mortality 8 which is consistent with our findings.…”
Section: Discussioncontrasting
confidence: 50%
“…PCP-IRIS can develop within a week in HIV-positive patients receiving antiviral therapy ( 10 , 11 ). The prognosis of PCP-IRIS is worse in HIV-negative patients than that in HIV-positive patients; indeed, approximately half of non-HIV patients succumbed to PCP, whereas PCP-associated death was not reported in HIV-positive patients ( 11 , 12 ). More potent immunosuppressive therapy is required for PCP-IRIS in HIV-negative patients than in HIV-positive patients.…”
Section: Discussionmentioning
confidence: 95%
“…The non-specific and specific immune functions in the pediatric respiratory tract are poor, the respiratory tract can be easily infected and pulmonary tissue is subjected to inflammation (22). Moreover, cells suffer from degeneration or necrosis, along with inflammatory cell infiltration, which will produce a large amount of reactive oxygen species (ROS) (23). Furthermore, the antioxidant capacity of the lung is insufficient and cannot eliminate these ROS in a timely fashion, so a large amount of lipid peroxides will damage the tissue and cell membrane, and increase its permeability, leading to lysosome rupture and tissue necrosis.…”
Section: Discussionmentioning
confidence: 99%