首页|艾滋病患者结核病相关免疫重建炎症综合征免疫机制研究进展

艾滋病患者结核病相关免疫重建炎症综合征免疫机制研究进展

Advances in the immune mechanisms of tuberculosis related immune reconstitution inflammatory syndrome in AIDS patients

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结核病是艾滋病最常见机会性感染之一.启动抗逆转录病毒治疗后,艾滋病合并结核病患者可能出现结核病相关免疫重建炎症综合征(TB-IRIS),使病情恶化,导致再次住院甚至死亡.目前针对TB-IRIS发病机制已经有大量研究,但其潜在免疫机制及相关预测因子仍不明确.本文拟对艾滋病患者TB-IRIS的流行现状、高危因素、预测因子及免疫机制的研究进展进行综述,以提高对该疾病的认识.
Tuberculosis is one of the most common opportunistic infections in AIDS patients.Following the initiation of antiretroviral therapy(ART),HIV and Mycobacterium tuberculosis co-infected patients may experience tuberculosis-associated immune reconstitution inflammatory syndrome(TB-IRIS),leading to disease exacerbation,recurrent hospitalizations,and even death.Although extensive research has been conducted on the pathogenesis of TB-IRIS,the underlying immunological mechanisms and associated predictive factors remain unclear.This review aims to summarize the current epidemiology,high-risk factors,predictive factors,and immunological mechanisms of TB-IRIS,in order to enhance the understanding.

Immune reconstitution inflammatory syndromeTuberculosisAcquired immune deficiency syndromeCo-infection

杨隆平、陈景良、李凌华

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广州医科大学附属市八医院感染病中心,广州 510440

免疫重建炎症综合征 结核病 获得性免疫缺陷综合征 合并感染

2024

国际流行病学传染病学杂志
中华医学会,浙江省医学科学院

国际流行病学传染病学杂志

CSTPCD
影响因子:0.424
ISSN:1673-4149
年,卷(期):2024.51(6)