Open Access. Powered by Scholars. Published by Universities.®

Bacterial Infections and Mycoses Commons

Open Access. Powered by Scholars. Published by Universities.®

878 Full-Text Articles 2,970 Authors 222,254 Downloads 99 Institutions

All Articles in Bacterial Infections and Mycoses

Faceted Search

878 full-text articles. Page 1 of 32.

Tuberculoid Leprosy Masquerading As Erythema Induratum, Manuel Britto, Danish M. Siddiq, Michael Morgan, Anthony Dedea, Utpal Patel 2021 Oak Hill Hospital

Tuberculoid Leprosy Masquerading As Erythema Induratum, Manuel Britto, Danish M. Siddiq, Michael Morgan, Anthony Dedea, Utpal Patel

HCA Healthcare Journal of Medicine

Introduction

Erythema Induratum (EI) is a relatively rare dermatologic disorder affecting subcutaneous fat tissue, which is often associated with Mycobacterium tuberculosis. This report details the presentation, diagnosis and management in a 70-year-old female who presented with a painful erythematous annular rash at the clinic. The rash was later diagnosed as EI associated with Mycobacterium leprae, one rarely seen in literature.

Discussion

EI is a rare form of panniculitis that typically presents as a recurrent grouping of tender nodules and plaques on the posterior aspect of the lower legs. Although EI is considered idiopathic in most cases, it can be associated ...


Challenges And Opportunities In Food Safety-A Review, Iram Asim, Humaira Yasmeen 2021 Department of Microbiology and Molecular Genetics, The Women University Multan, Pakistan

Challenges And Opportunities In Food Safety-A Review, Iram Asim, Humaira Yasmeen

Journal of Bioresource Management

Food-borne diseases are the group of disorders that are caused by consuming food having microbial existence in it. So safe food handling is to make sure the lessening of detrimental effects in growth to the packaging of food to minimize health issues on consumers which otherwise can lead to large scale disease outburst. This review concludes the findings of the studies on how food is being handled from farm to fork, how airlines are contributing towards the spreading of diseases, how any negligence in any one of the steps can cause havoc to mankind in the light of the recent ...


The High Prevalence Of Clostridioides Difficile Among Nursing Home Elders Associates With A Dysbiotic Microbiome, John P. Haran, Doyle V. Ward, Shakti K. Bhattarai, Ethan Loew, Protiva Dutta, Amanda Higgins, Beth A. McCormick, Vanni Bucci 2021 University of Massachusetts Medical School

The High Prevalence Of Clostridioides Difficile Among Nursing Home Elders Associates With A Dysbiotic Microbiome, John P. Haran, Doyle V. Ward, Shakti K. Bhattarai, Ethan Loew, Protiva Dutta, Amanda Higgins, Beth A. Mccormick, Vanni Bucci

University of Massachusetts Medical School Faculty Publications

Clostridioides difficile disproportionally affects the elderly living in nursing homes (NHs). Our objective was to explore the prevalence of C. difficile in NH elders, over time and to determine whether the microbiome or other clinical factors are associated with C. difficile colonization. We collected serial stool samples from NH residents. C. difficile prevalence was determined by quantitative polymerase-chain reaction detection of Toxin genes tcdA and tcdB; microbiome composition was determined by shotgun metagenomic sequencing. We used mixed-effect random forest modeling machine to determine bacterial taxa whose abundance is associated with C. difficile prevalence while controlling for clinical covariates including demographics ...


Cnbp, Rel, And Bhlhe40 Variants Are Associated With Il-12 And Il-10 Responses And Tuberculosis Risk [Preprint], Javeed A. Shah, Christopher M. Sassetti, Katherine A. Fitzgerald 2021 University of Washington

Cnbp, Rel, And Bhlhe40 Variants Are Associated With Il-12 And Il-10 Responses And Tuberculosis Risk [Preprint], Javeed A. Shah, Christopher M. Sassetti, Katherine A. Fitzgerald

University of Massachusetts Medical School Faculty Publications

Rationale: The major human genes regulating M. tuberculosis (Mtb)-induced immune responses and tuberculosis (TB) susceptibility are poorly understood. Although IL-12 and IL-10 are critical for TB pathogenesis, the genetic factors that regulate their expression are unknown. CNBP, REL, and BHLHE40 are master regulators of IL-12 and IL-10 signaling.

Objectives: To determine whether common human genetic variation in CNBP, REL and BHLHE40 is associated with IL-12 and IL-10 expression, adaptive immune responses to mycobacteria, and susceptibility to TB.

Methods and Main Measurements: We characterized the association between common variants in CNBP, REL, and BHLHE40 and innate immune responses in dendritic ...


Peripherally Inserted Central Catheter-Associated Nocardia Nova Endocarditis In A Patient Receiving Intravenous Antibiotics For Chronic Lyme Disease, Aji B. Njie, Michael Mitchell, Read Pukkila-Worley 2021 University of Massachusetts Medical School

Peripherally Inserted Central Catheter-Associated Nocardia Nova Endocarditis In A Patient Receiving Intravenous Antibiotics For Chronic Lyme Disease, Aji B. Njie, Michael Mitchell, Read Pukkila-Worley

Infectious Diseases and Immunology Publications

Long-term antibiotics are not effective for the therapy of patients with persistent symptoms and a history of Lyme disease. However, some clinicians still prescribe these therapies. We present a case of peripherally inserted central catheter-associated Nocardia nova endocarditis in a patient who had been receiving intravenous antibiotics for the management of chronic Lyme disease. This case highlights an important risk associated with the unscientific use of indwelling peripheral catheters and intravenous antibiotics for the management of such patients. Infectious Diseases Society of America.


Enteric Fever, Buddha Basnyat, Farah Naz Qamar, Priscilla Rupali, Tahmeed Ahmed, Christopher M. Parry 2021 Oxford University Clinical Research Unit-Patan Academy of Health Science Kathmandu, Nepal

Enteric Fever, Buddha Basnyat, Farah Naz Qamar, Priscilla Rupali, Tahmeed Ahmed, Christopher M. Parry

Department of Paediatrics and Child Health

No abstract provided.


Cd4 T Cell Help Prevents Cd8 T Cell Exhaustion And Promotes Control Of Mycobacterium Tuberculosis Infection [Preprint], Yu-Jung Lu, Palmira Barreira-Silva, Shayla Boyce, Jennifer Powers, Kelly Cavallo, Samuel M. Behar 2021 University of Massachusetts Medical School

Cd4 T Cell Help Prevents Cd8 T Cell Exhaustion And Promotes Control Of Mycobacterium Tuberculosis Infection [Preprint], Yu-Jung Lu, Palmira Barreira-Silva, Shayla Boyce, Jennifer Powers, Kelly Cavallo, Samuel M. Behar

University of Massachusetts Medical School Faculty Publications

CD4 T cells are essential for immunity to tuberculosis because they produce cytokines including interferon-γ. Whether CD4 T cells act as “helper” cells to promote optimal CD8 T cell responses during Mycobacterium tuberculosis is unknown. Using two independent models, we show that CD4 T cell help enhances CD8 effector functions and prevents CD8 T cell exhaustion. We demonstrate synergy between CD4 and CD8 T cells in promoting the survival of infected mice. Purified helped, but not helpless, CD8 T cells efficiently restrict intracellular bacterial growth in vitro. Thus, CD4 T cell help plays an essential role in generating protective CD8 ...


Stability Evaluation Of Extemporaneously Compounded Vancomycin Ophthalmic Drops: Effect Of Solvents And Storage Conditions, Christopher Ross, Basir Syed, Joanna Pak, Vishal Jhanji, Jason Yamaki, Ajay Sharma 2021 Chapman University

Stability Evaluation Of Extemporaneously Compounded Vancomycin Ophthalmic Drops: Effect Of Solvents And Storage Conditions, Christopher Ross, Basir Syed, Joanna Pak, Vishal Jhanji, Jason Yamaki, Ajay Sharma

Pharmacy Faculty Articles and Research

Vancomycin is the drug of choice for methicillin-resistant Staphylococcus aureus keratitis and other ocular infections. Vancomycin ophthalmic drops are not commercially available and require compounding. The present study was designed to investigate the stability of vancomycin ophthalmic drops in normal saline, phosphate-buffered saline (PBS), and balanced salt solution (BSS) while stored at room temperature or under refrigeration. Vancomycin ophthalmic drops (50 mg/mL) were aseptically prepared from commercially available intravenous powder using PBS, BSS, and saline. Solutions were stored at room temperature and in a refrigerator for 28 days. The vancomycin stability was tested by a microbiology assay and high-performance ...


Closing The Loop In Child Tb Contact Management: Completion Of Tb Preventive Therapy Outcomes In Western Kenya, James A. Amisi, E. Jane Carter, Enos Masini, Daria Szkwarko 2021 Moi University

Closing The Loop In Child Tb Contact Management: Completion Of Tb Preventive Therapy Outcomes In Western Kenya, James A. Amisi, E. Jane Carter, Enos Masini, Daria Szkwarko

Open Access Publications by UMMS Authors

SETTING: Children especially those < 5 years of age exposed to pulmonary tuberculosis (TB) are at a high risk of severe TB disease and death. Isoniazid preventive therapy (IPT) has been shown to decrease disease progression by up to 90%. Kenya, a high TB burden country experiences numerous operational challenges that limit implementation of TB preventive services. IPT completion in child contacts is not routinely reported in Kenya.

OBJECTIVE: This study aims to review the child contact management (CCM) cascade and present IPT outcomes across 10 clinics in western Kenya.

DESIGN: A retrospective chart review of programmatic data of a TB Reach-funded active, clinic-based CCM strategy.

RESULTS: Of 553 child contacts screened, 231 (42%) were reported symptomatic. 74 (13%) of the child contacts were diagnosed with active TB disease. Of those eligible for IPT, 427 (90%) initiated IPT according to TB REACH project data while 249 (58%) were recorded in the IPT register with 49 (11%) recorded as a transfer to other facilities. Of ...


Host Tropism Determination By Convergent Evolution Of Immunological Evasion In The Lyme Disease System [Preprint], Thomas M. Hart, Alan P. Dupuis, II, Danielle M. Tufts, Anna M. Blom, Simon Starkey, Ryan O. M. Rego, Sanjay Ram, Peter Kraiczy, Laura D. Kramer, Maria A. Diuk-Wasser, Sergios-Orestis Kolokotronis, Yi-Pin Lin 2021 SUNY Albany

Host Tropism Determination By Convergent Evolution Of Immunological Evasion In The Lyme Disease System [Preprint], Thomas M. Hart, Alan P. Dupuis, Ii, Danielle M. Tufts, Anna M. Blom, Simon Starkey, Ryan O. M. Rego, Sanjay Ram, Peter Kraiczy, Laura D. Kramer, Maria A. Diuk-Wasser, Sergios-Orestis Kolokotronis, Yi-Pin Lin

University of Massachusetts Medical School Faculty Publications

Microparasites selectively adapt in some hosts, known as host tropism. Transmitted through ticks and carried mainly by mammals and birds, the Lyme disease (LD) bacterium is a well-suited model to study such tropism. LD bacteria species vary in host ranges through mechanisms eluding characterization. By feeding ticks infected with different LD bacteria species, utilizing feeding chambers and live mice and quail, we found species-level differences of bacterial transmission. These differences localize on the tick blood meal, and complement, a defense in vertebrate blood, and a bacterial polymorphic protein, CspA, which inactivates complement by binding to a host complement inhibitor, FH ...


Sociodemographic, Clinical Characteristics, And Outcomes Of Influenza Pneumonia Patients Admitted In A Tertiary Care Hospital In Karachi, Pakistan: Findings From A Cross-Sectional Study, Fazal Ur Rehman, Muhammad Arslan Ahmed, Kashif Aziz, Mahmooda Jabeen Ashraf, Tazein Amber, Sumera Aziz Ali 2021 Aga Khan University

Sociodemographic, Clinical Characteristics, And Outcomes Of Influenza Pneumonia Patients Admitted In A Tertiary Care Hospital In Karachi, Pakistan: Findings From A Cross-Sectional Study, Fazal Ur Rehman, Muhammad Arslan Ahmed, Kashif Aziz, Mahmooda Jabeen Ashraf, Tazein Amber, Sumera Aziz Ali

Section of Internal Medicine

Objective: To determine the sociodemographic, clinical characteristics, and outcomes of influenza pneumonia patients in tertiary care hospital, Karachi Pakistan.
Study design: A cross-sectional study.
Place and duration of study: The Aga Khan University Hospital Karachi Pakistan from January 2013 to December 2018. Methodology: All adult patients who were older than 18 years and suspected to have viral pneumonia were included in the study. Data were abstracted on 105 patients and were entered on preformed proforma after reviewing the files of patients.
Results: Ninety-four (89.5%) patients were influenza positive and 15.2% (n=16) had been vaccinated. Around 92.4 ...


Distribution And Antibiotic Resistance Profiles Of Salmonella Enterica In Rural Areas Of North Carolina After Hurricane Florence In 2018, Yuqing Mao, Mohamed Zeineldin, Moiz Usmani, Sital Uprety, Joanna Shisler, Antarpreet Jutla, Avinash Unnikrishnan, Thanh H. Nguyen 2021 University of Illinois at Urbana-Champaign

Distribution And Antibiotic Resistance Profiles Of Salmonella Enterica In Rural Areas Of North Carolina After Hurricane Florence In 2018, Yuqing Mao, Mohamed Zeineldin, Moiz Usmani, Sital Uprety, Joanna Shisler, Antarpreet Jutla, Avinash Unnikrishnan, Thanh H. Nguyen

Civil and Environmental Engineering Faculty Publications and Presentations

The frequency and magnitude of extreme events are increasing globally (Arnell & Gosling, 2016). Inundation, as a result of massive flooding, has the potential to change environmental conditions abruptly, and as a result, add pressure to the metabolism and proliferation of microorganisms (Furtak et al., 2020). The resulting overland flows and additional burden from domestic sewer and septic tank systems during an extreme flood event can introduce pathogens into ecologically unstable water bodies. For example, Yu et al. (2018) reported elevated levels of Escherichia coli and antibiotic resistance genes (ARGs) in river water samples 6 months after flooding in Houston, TX ...


Streptococcus Cristatus – An Oral Bacterium Causing A Case Of Mild Bacteremia And “Possible Endocarditis”, Camilo Guzman, Adi Zaclli, John Molinari 2021 Wayne State University

Streptococcus Cristatus – An Oral Bacterium Causing A Case Of Mild Bacteremia And “Possible Endocarditis”, Camilo Guzman, Adi Zaclli, John Molinari

Medical Student Research Symposium

Streptococcus cristatus is a member of the Mitis streptococcus group. Like other members of this group, it resides in mucosal surfaces of the oral cavity but rarely causes disease. We present a case of S. cristatus bacteremia and “possible endocarditis” (per the modified Duke criteria) in a 59-year-old male suffering from end- stage cryptogenic cirrhosis. To date, it is the fifth reported case of disease caused by the microbe, and the first adult case in which S. cristatus was the sole microbe identified. Our patient had a history of dental caries and poor dentition, which were likely the source of ...


Should Treatment Of Low-Level Rifampicin Mono-Resistant Tuberculosis Be Different, F. A. Gopie, E. Commiesie, S. Baldi, M. Kamst, Devinder Kaur, W. C. M. de Lange, P. S. Pinas, D. Stijnberg, M. Wongsokarijo, C. W. R. Zijlmans, R. de Zwaan, D. van Soolingen, S. G. S. Vreden, G. de Vries 2021 Anton de Kom University of Suriname

Should Treatment Of Low-Level Rifampicin Mono-Resistant Tuberculosis Be Different, F. A. Gopie, E. Commiesie, S. Baldi, M. Kamst, Devinder Kaur, W. C. M. De Lange, P. S. Pinas, D. Stijnberg, M. Wongsokarijo, C. W. R. Zijlmans, R. De Zwaan, D. Van Soolingen, S. G. S. Vreden, G. De Vries

Open Access Publications by UMMS Authors

Background: Rifampicin resistant tuberculosis (RR-TB) was frequently detected in Suriname after the introduction of Xpert MTB/RIF in 2012. Subsequent phenotypic drug-susceptibility testing (DST) was not conclusive at that moment, while RR-TB patients treated with first-line tuberculostatics had good treatment outcome. In our study, we analysed this interesting observation.

Methods: We collected demographic and clinical characteristics and treatment outcome of TB patients from May 2012-December 2018 and performed a univariate and multivariate analysis to assess possible associations with resistance to rifampicin. Secondly, we conducted whole genome sequencing on all available Mycobacterium tuberculosis isolates that had a rifampicin resistance in the ...


Exploring The Impact Of Ketodeoxynonulosonic Acid In Host-Pathogen Interactions Using Uptake And Surface Display By Nontypeable Haemophilus Influenzae, Sudeshna Saha, Sanjay Ram, Ajit Varki 2021 University of California - San Diego

Exploring The Impact Of Ketodeoxynonulosonic Acid In Host-Pathogen Interactions Using Uptake And Surface Display By Nontypeable Haemophilus Influenzae, Sudeshna Saha, Sanjay Ram, Ajit Varki

Open Access Publications by UMMS Authors

Surface expression of the common vertebrate sialic acid (Sia) N-acetylneuraminic acid (Neu5Ac) by commensal and pathogenic microbes appears structurally to represent "molecular mimicry" of host sialoglycans, facilitating multiple mechanisms of host immune evasion. In contrast, ketodeoxynonulosonic acid (Kdn) is a more ancestral Sia also present in prokaryotic glycoconjugates that are structurally quite distinct from vertebrate sialoglycans. We detected human antibodies against Kdn-terminated glycans, and sialoglycan microarray studies found these anti-Kdn antibodies to be directed against Kdn-sialoglycans structurally similar to those on human cell surface Neu5Ac-sialoglycans. Anti-Kdn-glycan antibodies appear during infancy in a pattern similar to those generated following incorporation of ...


Association Of Presenting Symptoms With Abnormal Laboratory Values For Vector-Borne Illness — Experience In An Urban Gastroenterology Practice, Michael D. Erdman, Niloofar Kossari, Jessica Ye, Kristen H. Reynolds, Emily Blodget, B. Robert Mozayeni, Farshid Sam Rahbar 2021 Los Angeles Integrative Gastroenterology & Nutrition

Association Of Presenting Symptoms With Abnormal Laboratory Values For Vector-Borne Illness — Experience In An Urban Gastroenterology Practice, Michael D. Erdman, Niloofar Kossari, Jessica Ye, Kristen H. Reynolds, Emily Blodget, B. Robert Mozayeni, Farshid Sam Rahbar

Journal of Patient-Centered Research and Reviews

Background: In the clinical setting, it is not common practice to consider a vector bite, such as from a tick or flea, to be a contributing factor to chronic digestive symptoms. This article investigates associations we have observed among symptomatic patients and positive blood tests for vector-borne illness (VBI).

Methods: Patients who visited an urban gastroenterology clinic over a 3-year period were retrospectively reviewed. A total of 270 patients presenting with a constellation of digestive symptoms — and who had no apparent digestive pathology and reported no prior diagnosis or treatments for VBI — were analyzed. Before the initial visit, all patients ...


Investigation Of A Monoclonal Antibody Against Enterotoxigenic Escherichia Coli, Expressed As Secretory Iga1 And Iga2 In Plants, Audrey Y-H. Teh, Lisa A. Cavacini, Yue Hu, Ozan S. Kumru, Jian Xiong, David T. Bolick, Sangeeta B. Joshi, Clemens Grunwald-Gruber, Friedrich Altmann, Mark S. Klempner, Richard L. Guerrant, David B. Volkin, Yang Wang, Julian K-C. Ma 2021 St. George's University of London

Investigation Of A Monoclonal Antibody Against Enterotoxigenic Escherichia Coli, Expressed As Secretory Iga1 And Iga2 In Plants, Audrey Y-H. Teh, Lisa A. Cavacini, Yue Hu, Ozan S. Kumru, Jian Xiong, David T. Bolick, Sangeeta B. Joshi, Clemens Grunwald-Gruber, Friedrich Altmann, Mark S. Klempner, Richard L. Guerrant, David B. Volkin, Yang Wang, Julian K-C. Ma

Open Access Publications by UMMS Authors

Passive immunization with antibodies is a promising approach against enterotoxigenic Escherichia coli diarrhea, a prevalent disease in LMICs. The objective of this study was to investigate expression of a monoclonal anti-ETEC CfaE secretory IgA antibody in N. benthamiana plants, with a view to facilitating access to ETEC passive immunotherapy. SIgA1 and SIgA2 forms of mAb 68-81 were produced by co-expressing the light and engineered heavy chains with J chain and secretory component in N. benthamiana. Antibody expression and assembly were compared with CHO-derived antibodies by SDS-PAGE, western blotting, size-exclusion chromatography and LC-MS peptide mapping. N-linked glycosylation was assessed by rapid ...


Disrupted Iron Metabolism And Mortality During Co-Infection With Malaria And An Intestinal Gram-Negative Extracellular Pathogen, Luara Isabela Dos Santos, Thais Abdala Torres, Suelen Queiroz. Diniz, Ricardo Goncalves, Gustavo Caballero-Flores, Gabriel Nunez, Ricardo T. Gazzinelli, Kevin Joseph. Maloy, Lis Ribeiro do V Antonelli 2021 University of Oxford

Disrupted Iron Metabolism And Mortality During Co-Infection With Malaria And An Intestinal Gram-Negative Extracellular Pathogen, Luara Isabela Dos Santos, Thais Abdala Torres, Suelen Queiroz. Diniz, Ricardo Goncalves, Gustavo Caballero-Flores, Gabriel Nunez, Ricardo T. Gazzinelli, Kevin Joseph. Maloy, Lis Ribeiro Do V Antonelli

Open Access Publications by UMMS Authors

Individuals with malaria exhibit increased morbidity and mortality when infected with Gram-negative (Gr-) bacteria. To explore this experimentally, we performed co-infection of mice with Plasmodium chabaudi and Citrobacter rodentium, an extracellular Gr- bacterial pathogen that infects the large intestine. While single infections are controlled effectively, co-infection results in enhanced virulence that is characterized by prolonged systemic bacterial persistence and high mortality. Mortality in co-infected mice is associated with disrupted iron metabolism, elevated levels of plasma heme, and increased mitochondrial reactive oxygen species (ROS) production by phagocytes. In addition, iron acquisition by the bacterium plays a key role in pathogenesis because ...


Two-Way Regulation Of Mmpl3 Expression Identifies And Validates Inhibitors Of Mmpl3 Function In Mycobacterium Tuberculosis, Shipra Grover, Curtis A. Engelhart, Esther Perez-Herran, Wei Li, Katherine A. Abrahams, Kadamba Papavinasasundaram, James M. Bean, Christopher M. Sassetti, Alfonso Mendoza-Losana, Gurdyal S. Besra, Mary Jackson, Dirk Schnappinger 2021 Weill Cornell Medicine

Two-Way Regulation Of Mmpl3 Expression Identifies And Validates Inhibitors Of Mmpl3 Function In Mycobacterium Tuberculosis, Shipra Grover, Curtis A. Engelhart, Esther Perez-Herran, Wei Li, Katherine A. Abrahams, Kadamba Papavinasasundaram, James M. Bean, Christopher M. Sassetti, Alfonso Mendoza-Losana, Gurdyal S. Besra, Mary Jackson, Dirk Schnappinger

Open Access Publications by UMMS Authors

MmpL3, an essential mycolate transporter in the inner membrane of Mycobacterium tuberculosis (Mtb), has been identified as a target of multiple, chemically diverse antitubercular drugs. However, several of these molecules seem to have secondary targets and inhibit bacterial growth by more than one mechanism. Here, we describe a cell-based assay that utilizes two-way regulation of MmpL3 expression to readily identify MmpL3-specific inhibitors. We successfully used this assay to identify a novel guanidine-based MmpL3 inhibitor from a library of 220 compounds that inhibit growth of Mtb by largely unknown mechanisms. We furthermore identified inhibitors of cytochrome bc1-aa3 oxidase as one class ...


Pulmonary Restriction Predicts Long-Term Pulmonary Impairment In People With Hiv And Tuberculosis, Sara C. Auld, Hardy Kornfeld, Pholo Maenetje, Mandla Mlotshwa, William Chase, Mboyo di-Tamba Vangu, Drew A. Torigian, Robert S. Wallis, Gavin Churchyard, Gregory P. Bisson 2021 Emory University

Pulmonary Restriction Predicts Long-Term Pulmonary Impairment In People With Hiv And Tuberculosis, Sara C. Auld, Hardy Kornfeld, Pholo Maenetje, Mandla Mlotshwa, William Chase, Mboyo Di-Tamba Vangu, Drew A. Torigian, Robert S. Wallis, Gavin Churchyard, Gregory P. Bisson

Open Access Publications by UMMS Authors

BACKGROUND: While tuberculosis is considered a risk factor for chronic obstructive pulmonary disease, a restrictive pattern of pulmonary impairment may actually be more common among tuberculosis survivors. We aimed to determine the nature of pulmonary impairment before and after treatment among people with HIV and tuberculosis and identify risk factors for long-term impairment.

METHODS: In this prospective cohort study conducted in South Africa, we enrolled adults newly diagnosed with HIV and tuberculosis who were initiating antiretroviral therapy and tuberculosis treatment. We measured lung function and symptoms at baseline, 6, and 12 months. We compared participants with and without pulmonary impairment ...


Digital Commons powered by bepress