Table 2. Causes of serious clinical events during 6 months follow-up on antituberculous treatment in 167 HIV-infected and 86 HIV-uninfected individuals.
HIV-infected (nā=ā167) | HIV-uninfected (nā=ā86) | |
Total number of serious adverse events | ||
in number of patients (pat) | 77 events in 58 pat | 6 events in 6 pat |
Concomitant infection | 31 (19%) | 2 (2%) |
Confirmed infectiona | 9 | - |
Suspected infectionb | 22 | 2 |
Drug-induced liver toxicity | 22 (13%) | 2 (2%) |
Paradoxical reactions/TB IRIS c | 21 (13%) | 1 (1%) |
probable | 12 | 1 |
possible | 9 | - |
Treatment failure (multidrug-resistant TB) | - | 1 (1%) |
Miscellanous | 5 (3%) | - |
Suspected lymphoma | 2 | - |
Suspected Kaposi's sarcoma | 1 | - |
illnesses with identified etiologic agent were: Klebsiella pneumoniae bacteremia (2), Staphylococcus aureus bacteremia (1), Klebsiella pneumoniae urosepsis (2), cryptococcal meningitis (1), zona ophtalmica (1), Plasmodium falciparum malaria (1), Escherichia coli dysentery (1).
in most cases no etiologic agent was identified including ilnesses such as hepatic abscess, enteritis, cholangitis, bronchopneumonia, urosepsis.
immune reconstitution inflammatory syndrome (IRIS) is used according to consensus case definitions for resource-limited countries [16]; paradoxical reaction is the term used for HIV-uninfected persons.