Table 1. Baseline characteristics of the patients.
Variable | All patients (n = 90) |
---|---|
Age (years) | 32 (28–38) |
Sex (% male) | 44% (40) |
Abnormal mental status (%) | 37% (33) |
Baseline CD4 cell count (x 106/ml) | 27 (14–51) |
HIV viral load (copies/ml) | 120,000 (28,000–300,000) |
CSF lymphocyte count (x 106/L) | 14 (0–72) |
CSF protein (g/dL) | 0.97 (0.55–1.54) |
India ink +ve (%) | 92% (83) |
Baseline fungal burden (CFU/ml CSF) | 240,000 (36,500–745,000) |
2 week mortality (%)* | 16% (14) |
IRIS (%)* † | 14% (9) |
Results are median inter-quartile range (IQR) unless indicated. CFU, colony forming unit; CSF, cerebrospinal fluid; IRIS, immune reconstitution inflammatory syndrome.
*All patients were treated with Amphotericin B 1 mg/kg plus flucytosine 100 mg/kg per day for 14 days (“standard treatment”). 31 patients received standard treatment alone (“controls”). 29 patients received standard treatment plus IFNγ 2 doses (100 μg days 1 and 3). 30 patients received standard treatment plus IFNγ 6 doses (IFNγ 100 μg days 1,3,5,8,10, and 12). There were no significant differences in either mortality or frequency of IRIS between treatment groups [3].
†IRIS is expressed as percentage of patients who initiated antiretroviral therapy (n = 65)