Two Patients Coinfected with Mycobacterium leprae and Human Immunodeficiency Virus Type 1 and Na?ve for Antiretroviral Therapy Who Exhibited Type 1 Leprosy Reactions Mimicking the Immune Reconstitution Inflammatory Syndrome

M. A. B. Trindade; N. Y. S. Valente; M. I. P. Manini; M. D. F. Takahashi; C. F. D. Anjos; G. Benard; B. Naafs

首页> 外文期刊>Journal of Clinical Microbiology >Two Patients Coinfected with Mycobacterium leprae and Human Immunodeficiency Virus Type 1 and Na?ve for Antiretroviral Therapy Who Exhibited Type 1 Leprosy Reactions Mimicking the Immune Reconstitution Inflammatory Syndrome

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Two Patients Coinfected with Mycobacterium leprae and Human Immunodeficiency Virus Type 1 and Na?ve for Antiretroviral Therapy Who Exhibited Type 1 Leprosy Reactions Mimicking the Immune Reconstitution Inflammatory Syndrome

机译：两名感染了麻风分枝杆菌和人类免疫缺陷病毒1型和幼稚的抗逆转录病毒疗法的患者，他们表现出模仿免疫重建炎症综合症的1型麻风反应。

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Two case reports of patients with human immunodeficiency virus type 1 (HIV-1) infection who developed leprosy are presented. Both developed type 1 leprosy reactions in the absence of antiretroviral therapy. Reactions have been described for a number of HIV-1- and Mycobacterium leprae-coinfected patients and have been considered to be part of an immune reconstitution inflammatory syndrome (IRIS) since the reactions were usually linked to the administration of highly active antiretroviral therapy. The reports of our two patients suggest that the type 1 reactions in patients with leprosy and HIV may not always be an IRIS manifestation but may be akin to the classical reactional state described for the natural course of leprosy infection, which occurs in leprosy patients due to the fluctuations of the antimycobacterial immune response, whether they are coinfected with HIV or not.

机译：提出了两例发展为麻风病的1型人类免疫缺陷病毒（HIV-1）感染患者的病例报告。两者在缺乏抗逆转录病毒疗法的情况下均发生了1型麻风反应。已经描述了许多感染HIV-1和麻风分枝杆菌的患者的反应，并且由于这些反应通常与给药有关，因此被认为是免疫重建炎症综合症（IRIS）的一部分。高效抗逆转录病毒疗法。我们两名患者的报告表明，麻风和HIV患者的1型反应可能并不总是IRIS表现，但可能类似于描述为麻风自然病程的经典反应状态，这种情况在麻风患者中由于抗分枝杆菌免疫反应的波动，无论是否与艾滋病毒同时感染。

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《Journal of Clinical Microbiology》 |2006年第12期|共3页
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M. A. B. Trindade; N. Y. S. Valente; M. I. P. Manini; M. D. F. Takahashi; C. F. D. Anjos; G. Benard; B. Naafs;
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中图分类医学微生物学（病原细菌学、病原微生物学）;
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1. Borderline tuberculoid leprosy with upgrading Type 1 reaction in a HIV seropositive patient, after antiretroviral therapy: an immune reconstitution inflammatory syndrome. [J] . Kar HK, Sharma P, Bhardwaj M Leprosy review . 2009,第1期

机译：抗逆转录病毒疗法后，HIV血清反应阳性患者的交界型结核性麻风病伴1型反应增强：一种免疫重建性炎症综合症。
2. Ulcerating type 1 lepra reaction mimicking lazarine leprosy: An unusual presentation of immune reconstitution inflammatory syndrome in an HIV-infected patient [J] . BhatR., PintoM., DandakeriS., International journal of STD & AIDS . 2013,第12期

机译：模仿Lazarine麻风的溃疡性1型lepra反应：一名HIV感染患者的免疫重建炎症综合症的异常表现
3. Hepatitis B Virus-related Immune Reconstitution Inflammatory Syndrome in Two Patients Coinfected with Human Immunodeficiency Virus Diagnosed with a Liver Biopsy [J] . Mitsumoto Fujiko, Murata Masayuki, Kato Yoshifumi, Internal medicine. . 2014,第18期

机译：乙型肝炎病毒相关的免疫重建炎症综合症两名患者并发肝活检诊断为人类免疫缺陷病毒。
4. Immune reconstitution in advanced HIV-1 infected patients with highly active antiretroviral therapy [C] . Taisheng Li, Aixia Wang, Zhifeng Qiu, Second workshop related to HIV/AIDS in China . 1999

机译：积极抗逆转录病毒疗法治疗晚期HIV-1感染患者的免疫重建
5. Characterization of the human immunodeficiency virus type 1-specific humoral immune response during highly active antiretroviral therapy. [D] . Morris, Mary Kathleen. 2000

机译：高免疫活性抗逆转录病毒治疗过程中人类免疫缺陷病毒1型特异性体液免疫反应的特征。
6. Two Patients Coinfected with Mycobacterium leprae and Human Immunodeficiency Virus Type 1 and Naïve for Antiretroviral Therapy Who Exhibited Type 1 Leprosy Reactions Mimicking the Immune Reconstitution Inflammatory Syndrome [O] . M. A. B. Trindade, N. Y. S. Valente, M. I. P. Manini, 2006

机译：两名患者感染了麻风分枝杆菌和人类免疫缺陷病毒1型和单纯接受抗逆转录病毒治疗的患者他们表现出模拟免疫重建炎症综合症的1型麻风反应。
7. Two Patients Coinfected with Mycobacterium leprae and Human Immunodeficiency Virus Type 1 and Naïve for Antiretroviral Therapy Who Exhibited Type 1 Leprosy Reactions Mimicking the Immune Reconstitution Inflammatory Syndrome▿ [O] . Trindade, M. A. B., Valente, N. Y. S., Manini, M. I. P., 2006

机译：两名同时感染了麻风分枝杆菌和人类免疫缺陷病毒1型和单纯型抗逆转录病毒疗法的患者，他们表现出模仿免疫重建炎症综合症的1型麻风反应。

Two Patients Coinfected with Mycobacterium leprae and Human Immunodeficiency Virus Type 1 and Na?ve for Antiretroviral Therapy Who Exhibited Type 1 Leprosy Reactions Mimicking the Immune Reconstitution Inflammatory Syndrome

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