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Novel Findings in HIV, Immune Reconstitution Disease and Strongyloides stercoralis Infection.

Abstract We report the successful treatment of an HIV-infected patient with progressive strongyloidiasis as a component of immune reconstitution disease and a review of the literature on this topic. In our experience, pre- and post-antiretroviral therapy intestinal biopsies support a novel mechanism of immune reconstitution disease to Strongyloides stercoralis. We conclude that extended, dual antihelminthic therapy and temporary discontinuation of antiretroviral therapy may be effective in similar patients.
PMID
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Authors

Mayor MeshTerms
Keywords

HIV

Immune reconstitution disease

Immune reconstitution inflammatory syndrome

Strongyloides stercoralis

Strongyloidiasis

Journal Title the american journal of the medical sciences
Publication Year Start




PMID- 28641722
OWN - NLM
STAT- MEDLINE
DA  - 20170623
DCOM- 20170628
LR  - 20170628
IS  - 1538-2990 (Electronic)
IS  - 0002-9629 (Linking)
VI  - 353
IP  - 6
DP  - 2017 Jun
TI  - Novel Findings in HIV, Immune Reconstitution Disease and Strongyloides
      stercoralis Infection.
PG  - 593-596
LID - S0002-9629(16)30288-9 [pii]
LID - 10.1016/j.amjms.2016.05.021 [doi]
AB  - We report the successful treatment of an HIV-infected patient with progressive
      strongyloidiasis as a component of immune reconstitution disease and a review of 
      the literature on this topic. In our experience, pre- and post-antiretroviral
      therapy intestinal biopsies support a novel mechanism of immune reconstitution
      disease to Strongyloides stercoralis. We conclude that extended, dual
      antihelminthic therapy and temporary discontinuation of antiretroviral therapy
      may be effective in similar patients.
CI  - Copyright (c) 2017 Southern Society for Clinical Investigation. Published by
      Elsevier Inc. All rights reserved.
FAU - Aru, Roberto G
AU  - Aru RG
AD  - Department of Medicine, Division of Internal Medicine, University of Mississippi 
      Medical Center, Jackson, Mississippi.
FAU - Chilcutt, Benjamin M
AU  - Chilcutt BM
AD  - Department of Pathology, University of Mississippi Medical Center, Jackson,
      Mississippi.
FAU - Butt, Saira
AU  - Butt S
AD  - Department of Medicine, Division of Infectious Diseases, University of
      Mississippi Medical Center, Jackson, Mississippi.
FAU - deShazo, Richard D
AU  - deShazo RD
AD  - Department of Medicine, Division of Internal Medicine, University of Mississippi 
      Medical Center, Jackson, Mississippi.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PT  - Review
DEP - 20160526
PL  - United States
TA  - Am J Med Sci
JT  - The American journal of the medical sciences
JID - 0370506
RN  - 0 (Anti-Retroviral Agents)
RN  - 0 (Antiparasitic Agents)
RN  - 70288-86-7 (Ivermectin)
SB  - AIM
SB  - IM
MH  - Acquired Immunodeficiency Syndrome/*drug therapy
MH  - Adult
MH  - Animals
MH  - Anti-Retroviral Agents/*adverse effects/therapeutic use
MH  - Antiparasitic Agents/*therapeutic use
MH  - Humans
MH  - Immune Reconstitution Inflammatory Syndrome/*drug therapy/etiology
MH  - Ivermectin/*therapeutic use
MH  - Male
MH  - Strongyloides stercoralis/isolation & purification
MH  - Strongyloidiasis/*drug therapy/parasitology
MH  - Treatment Outcome
MH  - United States
OTO - NOTNLM
OT  - HIV
OT  - Immune reconstitution disease
OT  - Immune reconstitution inflammatory syndrome
OT  - Strongyloides stercoralis
OT  - Strongyloidiasis
EDAT- 2017/06/24 06:00
MHDA- 2017/06/29 06:00
CRDT- 2017/06/24 06:00
PHST- 2016/04/23 [received]
PHST- 2016/05/23 [revised]
PHST- 2016/05/23 [accepted]
AID - S0002-9629(16)30288-9 [pii]
AID - 10.1016/j.amjms.2016.05.021 [doi]
PST - ppublish
SO  - Am J Med Sci. 2017 Jun;353(6):593-596. doi: 10.1016/j.amjms.2016.05.021. Epub
      2016 May 26.