Immune reconstitution syndrome due to bacillus Calmette-Guérin after initiation of antiretroviral therapy in children with HIV infection

Clin Infect Dis. 2005 Oct 1;41(7):1049-52. doi: 10.1086/433177. Epub 2005 Aug 30.

Abstract

The immune reconstitution syndrome caused by bacillus Calmette-Guerin (BCG) was found in 4 HIV-infected children who were immunized with BCG at birth. The localized, suppurative, BCG-related complications developed within 10 weeks after initiation of antiretroviral therapy. The incidence rate was 2.7 cases per 100 persons (95% confidence interval, 0.7-6.7). Patients responded well to treatment with isoniazid and rifampicin.

Publication types

  • Case Reports
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Anti-HIV Agents / therapeutic use*
  • Antitubercular Agents / therapeutic use
  • BCG Vaccine / adverse effects*
  • Child
  • Female
  • HIV Infections / complications*
  • HIV Infections / drug therapy*
  • Humans
  • Infant
  • Isoniazid / therapeutic use
  • Rifampin / therapeutic use
  • Tuberculosis, Lymph Node / chemically induced*
  • Tuberculosis, Lymph Node / complications
  • Tuberculosis, Lymph Node / drug therapy
  • Tuberculosis, Lymph Node / pathology

Substances

  • Anti-HIV Agents
  • Antitubercular Agents
  • BCG Vaccine
  • Isoniazid
  • Rifampin