Tuberculosis and HIV Infection: Epidemiology, Immunology, and Treatment
Open accessAbstract
Tuberculosis and HIV have combined to present a major threat to global public health. Each disease has a negative effect on the other, and mortality in patients with both tuberculosis and HIV is higher than that caused by either condition alone. In regions such as sub-Saharan Africa, as many as a third or more of all patients with tuberculosis have concomitant HIV infection. In urban centers in developed nations, HIV co-infection may also be quite common. Treatment of latent tuberculosis infection in persons with HIV is successful in preventing many cases of active disease, and newer ultra-short course regimens, such as those consisting of 2 months of rifampin and pyrazinamide, should aid in this effort. Diagnosis and treatment of active tuberculosis in HIV-infected patients may be difficult. Although treatment of active tuberculosis is generally successful in patients with HIV, drug interactions between anti-tuberculosis medications and antiretrovirals often complicate the matter, and expert guidance should be sought for proper management.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Guidelines for the Use of Antiretroviral Agents in HIV-Infected Adults and Adolescents
(1998) · Annals of Internal Medicine · doi:10.7326/0003-4819-128-12_part_2-199806151-00003 · Cited by 5,197 · see citing works
Dye, C., Scheele, S., >Dolin, P., Pathania, V. S., Raviglione, M. C., & for the WHO Global Surveillance and Monitoring Project (1999) · JAMA · doi:10.1001/jama.282.7.677 · Cited by 2,955 · see citing works
Selwyn, P. A., Hartel, D. M., Lewis, V. A., Schoenbaum, E. E., Vermund, S. H., Klein, R. S., Walker, A. T., & FRIEDLAND, G. H. (1989) · New England Journal of Medicine · doi:10.1056/nejm198903023200901 · Cited by 1,572 · see citing works
Defining Protective Responses to Pathogens: Cytokine Profiles in Leprosy Lesions
Yamamura, M., Uyemura, K., Deans, R., Weinberg, K. I., Rea, T. H., Bloom, B. R., & Modlin, R. L. (1991) · Science · doi:10.1126/science.1925582 · Cited by 1,126 · see citing works
Holtzman, D. J., Powell‐Griner, E., Bolen, J. C., & Rhodes, L. (2000) · PubMed · Cited by 1,110 · see citing works
Wilkinson, R. J., Llewelyn, M., Toossi, Z., Patel, P., Pasvol, G., Lalvani, A., Wright, D. J., Latif, M., & Davidson, R. N. (2000) · The Lancet · doi:10.1016/s0140-6736(99)02301-6 · Cited by 768 · see citing works
Treatment of Multidrug-Resistant Tuberculosis
Wood, A. J. J., & Iseman, M. D. (1993) · New England Journal of Medicine · doi:10.1056/nejm199309093291108 · Cited by 712 · see citing works
Paradoxical Worsening of Tuberculosis Following Antiretroviral Therapy in Patients with AIDS
NARITA, M., ASHKIN, D., HOLLENDER, E. S., & PITCHENIK, A. E. (1998) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.158.1.9712001 · Cited by 608 · see citing works
Jones, B. E., Young, S. M. M., Antoniskis, D., Davidson, P. T., Kramer, F., & Barnes, P. F. (1993) · American Review of Respiratory Disease · doi:10.1164/ajrccm/148.5.1292 · Cited by 586 · see citing works
Nosocomial Transmission of Multidrug-resistant Mycobacterium tuberculosis
Pearson, M. L., Jereb, J., Frieden, T. R., Crawford, J. T., Davis, B. J., Dooley, S. W., & Jarvis, W. R. (1992) · Annals of Internal Medicine · doi:10.7326/0003-4819-117-3-191 · Cited by 546 · see citing works
Accelerated Course of Human Immunodeficiency Virus Infection after Tuberculosis
Whalen, C., Horsburgh, C. R., Hom, D., Lahart, C., Simberkoff, M. S., & Ellner, J. J. (1995) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.151.1.7812542 · Cited by 532 · see citing works
Hospital Outbreak of Multidrug-Resistant Mycobacterium tuberculosis Infections
Beck‐Sagué, C. M. (1992) · JAMA · doi:10.1001/jama.1992.03490100078031 · Cited by 472 · see citing works
Whalen, C. C., Johnson, J. L., Okwera, A., Hom, D. L., Huebner, R. E., Mugyenyi, P. N., Mugerwa, R. D., Ellner, J. J., Nsubuga, P., Vjecha, M. J., et al. (1997) · New England Journal of Medicine · doi:10.1056/nejm199709183371201 · Cited by 396 · see citing works
An Outbreak Involving Extensive Transmission of a Virulent Strain of Mycobacterium tuberculosis
Valway, S. E., Sanchez, M. P. C., Shinnick, T. M., Orme, I. M., Agerton, T., Hoy, D., Jones, J. S., Westmoreland, H., & Onorato, I. M. (1998) · New England Journal of Medicine · doi:10.1056/nejm199803053381001 · Cited by 386 · see citing works
Control and prevention of tuberculosis in the United Kingdom: Code of Practice 2000
Joint Tuberculosis Committee of the British Thoracic Society (2000) · Thorax · doi:10.1136/thorax.55.11.887 · Cited by 374 · see citing works
Fischl, M. A., Uttamchandani, R. B., Daikos, G. L., Poblete, R. B., Moreno, J. N., Reyes, R. R., Boota, A. M., Thompson, L. M., Cleary, T. J., & Lai, S. (1992) · Annals of Internal Medicine · doi:10.7326/0003-4819-117-3-177 · Cited by 370 · see citing works
Pitchenik, A. E., & Rubinson, H. A. (1985) · PubMed · doi:10.1164/arrd.1985.131.3.393 · Cited by 334 · see citing works
Extrapulmonary Tuberculosis in Patients with Human Immunodeficiency Virus Infection
Shafer, R. W., Kim, D. S., Weiss, J. P., & Quale, J. M. (1991) · Medicine · doi:10.1097/00005792-199111000-00004 · Cited by 322 · see citing works
Treatment of multidrug-resistant pulmonary tuberculosis with interferon-γ via aerosol
Condos, R., Rom, W. N., & Schluger, N. W. (1997) · The Lancet · doi:10.1016/s0140-6736(96)12273-x · Cited by 318 · see citing works
Self-citationManca, C., Tsenova, L., Barry, C. E., Bergtold, A., Freeman, S. L., Haslett, P. A. J., Musser, J. M., Freedman, V. H., & Kaplan, G. (1999) · The Journal of Immunology · doi:10.4049/jimmunol.162.11.6740 · Cited by 306 · see citing works
Halsey, N. A., Coberly, J. S., Desormeaux, J., et al. (1998) · The Lancet · doi:10.1016/s0140-6736(97)06532-x · Cited by 272 · see citing works
Chaulk, C. P. (1998) · JAMA · doi:10.1001/jama.279.12.943 · Cited by 272 · see citing works
Gordin, F. M. (2000) · JAMA · doi:10.1001/jama.283.11.1445 · Cited by 262 · see citing works
Th1-Th2 Paradigm: Insights from Leprosy
Modlin, R. L. (1994) · Journal of Investigative Dermatology · doi:10.1111/1523-1747.ep12381958 · Cited by 242 · see citing works
Delayed diagnosis of tuberculosis in patients with human immunodeficiency virus infection
Kramer, F., Modilevsky, T., Waliany, A. R., Leedom, J. M., & Barnes, P. F. (1990) · The American Journal of Medicine · doi:10.1016/0002-9343(90)90375-n · Cited by 214 · see citing works
Eleven Years of Community-Based Directly Observed Therapy for Tuberculosis
Chaulk, C. P. (1995) · JAMA · doi:10.1001/jama.1995.03530120037038 · Cited by 212 · see citing works
Mycobacterium Tuberculosis Enhances Human Immunodeficiency Virus-1 Replication in the Lung
Nakata, K., Rom, W. N., Honda, Y., et al. (1997) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.155.3.9117038 · Cited by 205 · see citing works
Coronado, V. G., Beck‐Sagué, C. M., Hutton, M. D., Davis, B. J., Nicholas, P., Villareal, C., Woodley, C. L., Kilburn, J. O., Crawford, J. T., Frieden, T. R., et al. (1993) · The Journal of Infectious Diseases · doi:10.1093/infdis/168.4.1052 · Cited by 200 · see citing works
Local Immune Responses Correlate with Presentation and Outcome in Tuberculosis
Condos, R., Rom, W. N., LIU, Y. M., & Schluger, N. W. (1998) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.157.3.9705044 · Cited by 195 · see citing works
Self-citationLaw, K. F., Weiden, M. D., Harkin, T. J., Tchou-Wong, K.-M., Chi, C.-N., & Rom, W. N. (1996) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.153.2.8564135 · Cited by 192 · see citing works
Zhang, Y., Nakata, K., Weiden, M. D., & Rom, W. N. (1995) · Journal of Clinical Investigation · doi:10.1172/jci117924 · Cited by 182 · see citing works
Whalen, C. C., Nsubuga, P., Okwera, A., Johnson, J. L., Hom, D. L., Michael, N. L., Mugerwa, R. D., & Ellner, J. J. (2000) · AIDS · doi:10.1097/00002030-200006160-00020 · Cited by 176 · see citing works
Gordin, F. M., Matts, J. P., Miller, C., Brown, L. S., Hafner, R., John, S. L., Klein, M., Vaughn, A., Besch, C. L., Pérez, G. V., et al. (1997) · New England Journal of Medicine · doi:10.1056/nejm199707313370505 · Cited by 166 · see citing works
Outcome of MDR-TB Patients, 1983-1993. Prolonged Survival With Appropriate Therapy
Park, M., Davis, A. L., Schluger, N. W., Cohen, H. W., & Rom, W. N. (1996) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.153.1.8542137 · Cited by 161 · see citing works
Self-citationMurray, J., Sonnenberg, P., Shearer, S., et al. (1999) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.159.3.9804147 · Cited by 159 · see citing works
Low Antituberculosis Drug Concentrations in Patients with AIDS
Peloquin, C. A., Nitta, A. T., Burman, W. J., et al. (1996) · Annals of Pharmacotherapy · doi:10.1177/106002809603000901 · Cited by 159 · see citing works
Burman, W. J., Gallicano, K., & Peloquin, C. A. (1999) · Clinical Infectious Diseases · doi:10.1086/515174 · Cited by 155 · see citing works
Genetics and Resistance to Tuberculosis
Stead, W. W. (1992) · Annals of Internal Medicine · doi:10.7326/0003-4819-116-11-937 · Cited by 135 · see citing works
El-Sadr, W. M., Perlman, D. C., Matts, J. P., Nelson, E. T., Cohn, D. L., Salomon, N., Olibrice, M., Medard, F., Chirgwin, K. D., Mildvan, D., et al. (1998) · Clinical Infectious Diseases · doi:10.1086/520275 · Cited by 119 · see citing works
Tuberculosis in HIV-Positive Patients: Cellular Response and Immune Activation in the Lung
Law, K. F., Jagirdar, J. S., Weiden, M. D., Bodkin, M., & Rom, W. N. (1996) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.153.4.8616569 · Cited by 100 · see citing works
Risk Factors for Rifampin Mono-resistant Tuberculosis
Ridzon, R., Whitney, C. G., McKenna, M. T., et al. (1998) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.157.6.9712009 · Cited by 97 · see citing works
THE ORIGIN AND ERRATIC GLOBAL SPREAD OF TUBERCULOSIS
Stead, W. W. (1997) · Clinics in Chest Medicine · doi:10.1016/s0272-5231(05)70356-7 · Cited by 96 · see citing works
Narita, M., Stambaugh, J. J., Hollender, E. S., et al. (2000) · Clinical Infectious Diseases · doi:10.1086/313771 · Cited by 94 · see citing works
CD4 Cell Counts in Human Immunodeficiency Virus--Negative Patients with Tuberculosis
Jones, B. E., Oo, M. M., Taikwel, E. K., Qian, D., Kumar, A., Maslow, E. R., & Barnes, P. F. (1997) · Clinical Infectious Diseases · doi:10.1093/clinids/24.5.988 · Cited by 91 · see citing works
Bishai, W. R., Dannenberg, A. M., Parrish, N. M., Ruiz, R., Chen, P., Zook, B. C., Johnson, W., Boles, J. W., & Pitt, M. L. M. (1999) · Infection and Immunity · doi:10.1128/iai.67.9.4931-4934.1999 · Cited by 90 · see citing works
A Tuberculin Screening and Isoniazid Preventive Therapy Program in an Inner-City Population
BOCK, N. N., Metzger, B. S., Tapia, J., et al. (1999) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.159.1.9807020 · Cited by 89 · see citing works
Boiselle, P. M., Tocino, I. M., Hooley, R. J., et al. (1997) · Journal of Thoracic Imaging · doi:10.1097/00005382-199701000-00007 · Cited by 85 · see citing works
Adherence to tuberculosis preventive therapy among HIV-infected persons in Chiang Rai, Thailand
Ngamvithayapong-Yanai, J., Uthaivoravit, W., Yanai, H., Akarasewi, P., & Sawanpanyalert, P. (1997) · AIDS · doi:10.1097/00002030-199701000-00016 · Cited by 80 · see citing works
Risk Factors for Rifampin-monoresistant Tuberculosis: A Case-Control Study
Sandman, L. A., Schluger, N. W., Davidow, A. L., et al. (1999) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.159.2.9805097 · Cited by 76 · see citing works
Self-citationGrowth Rate of Mycobacteria in Mice as an Unreliable Indicator of Mycobacterial Virulence
North, R. J., Ryan, L., LaCource, R., et al. (1999) · Infection and Immunity · doi:10.1128/iai.67.10.5483-5485.1999 · Cited by 66 · see citing works
Connolly, C., Reid, A., Davies, G., et al. (1999) · AIDS · doi:10.1097/00002030-199908200-00015 · Cited by 64 · see citing works
Bellamy, R. (2000) · Clinical Science · doi:10.1042/cs0980245 · Cited by 63 · see citing works
Comprehensive Tuberculosis Control for Patients at High Risk for Noncompliance
Schluger, N. W., Ciotoli, C., Cohen, D. A., et al. (1995) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.151.5.7735604 · Cited by 63 · see citing works
Self-citationDaley, C. L., Mugusi, F. M., Chen, L. L., Schmidt, D. M., Small, P. M., Bearer, E. A., Aris, E. A., Mtoni, I., Cegielski, J. P., Lallinger, G. J., et al. (1996) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.154.1.8680664 · Cited by 51 · see citing works
Flora, G. S., Modilevsky, T., Antoniskis, D., et al. (1990) · CHEST Journal · doi:10.1378/chest.98.5.1056 · Cited by 51 · see citing works
Bowen, E. F., Rice, P. S., Cooke, N. T., et al. (2000) · The Lancet · doi:10.1016/s0140-6736(00)02876-2 · Cited by 48 · see citing works
Martín, V., Caylà, J. A., Bolea, A., et al. (2000) · PubMed · Cited by 46 · see citing works
Human immunodeficiency virus-related tuberculosis and primary drug resistance in Bangkok, Thailand.
Punnotok, J., Shaffer, N., Naiwatanakul, T., et al. (2000) · PubMed · Cited by 44 · see citing works
Incidence of Tuberculosis in Injection Drug Users in San Francisco: Impact of Anergy
Daley, C. L., Hahn, J. A., Moss, A. R., Hopewell, P. C., & Schecter, G. F. (1998) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.157.1.9701111 · Cited by 43 · see citing works
Evidence of gene-environment interaction in development of tuberculosis
Bellamy, R. (2000) · The Lancet · doi:10.1016/s0140-6736(99)00426-2 · Cited by 36 · see citing works
Camins, B. C. (1996) · JAMA · doi:10.1001/jama.1996.03530370051030 · Cited by 34 · see citing works
Davies, G., Connolly, C., Sturm, A. W., et al. (1999) · AIDS · doi:10.1097/00002030-199905070-00010 · Cited by 32 · see citing works
Asimos, A. W., & Ehrhardt, J. (1996) · The American Journal of Emergency Medicine · doi:10.1016/s0735-6757(96)90049-2 · Cited by 24 · see citing works
DeRiemer, K., Soares, E., Dias, S., et al. (2000) · PubMed · Cited by 17 · see citing works
Different distributions of lung and blood lymphocyte subsets in pediatric AIDS or tuberculosis.
Nowakowski, M., Chan, S.-P., Steiner, P., et al. (1993) · PubMed · Cited by 15 · see citing works
Codecasa, L. R., & Besozzi, G. (1998) · PubMed · Cited by 12 · see citing works
Twenty-five years of tuberculosis in a French university hospital: a laboratory perspective.
Robert, J., Trystram, D., Truffot-Pernot, C., et al. (2000) · PubMed · Cited by 10 · see citing works
Werneck-Barroso, E., BONECINI-DE-ALMEIDA, M. D. G., Vieira, M. A. M. S., et al. (2000) · Respiratory Medicine · doi:10.1053/rmed.1999.0669 · Cited by 7 · see citing works
Nowakowski, M., Clarke, L. M., Amaro, R., et al. (1992) · PubMed · Cited by 7 · see citing works
Chemotherapy of Tuberculosis for the 1980's
Dutt, A. K., & Stead, W. W. (1980) · Primary Care Clinics in Office Practice · doi:10.1016/s0095-4543(21)00314-6 · Cited by 5 · see citing works
Flagged first, then by citations
Research works printed but not linked: 4
- [26]26. Beck-Sague C, Dooley SW, Hutton MD, et al. Hospital out- break of multidrug-resistant Mycobacterium tuberculosis in- fections. Factors in transmission to staff and HIV-infected patients. JAMA. 1992;268(10):1280-1286.
- [54]54. Flora GS, Modilevsky T, Antoniskis D, Barnes PF. Undiag- nosed tuberculosis in patients with human immunodefi- ciency virus infection. Chest. 1990;98(5):1056-1059.
- [70]70. Controlled trial of 6-month and 9-month regimens of daily and intermittent streptomycin plus isoniazid plus pyrazina- mide for pulmonary tuberculosis in Hong Kong. The results up to 30 months. Am Rev Respir Dis. 1977;115(5):727-735.
- [74]74. Munsiff S, Fujiwara P. Treatment of tuberculosis in patients taking antivirals. The AIDS Reader 2000;10(2):102-108.
Cited by
Sorted by citations
Diagnosis of tuberculous lymphadenitis by FNAC, microbiological methods and PCR: a comparative study
Aljafari, A. S., Khalil, E. A. G., Elsiddig, K. E., El Hag, I. A., Ibrahim, M. E., Elsafi, M. E. M. O., Hussein, A. M., Elkhidir, I. M., Sulaiman, G. S., & Elhassan, A. M. (2004) · Cytopathology · doi:10.1111/j.1365-2303.2003.00119.x · Cited by 103 · see citing works
- Authors
- Schluger, N. W., & Burzynski, J.
- Affiliations
- Columbia University Irving Medical Center (US)
- Government of New York City (US)
- Corresponding author
- Schluger, Neil W.
- Venue
- HIV Clinical Trials
- Publisher
- Informa UK Limited
- Published
- 2001-08
- Volume
- 2
- Issue
- 4
- Pages
- 356-365
- ISSN
- 1528-4336 (ISSN-L)
- 1945-5771
- OpenAlex
- W2169841915
- Semantic Scholar
- e2c38f4240cb7212d0253154280ba79534511345
- Cited by
- 18
- References
- 70
- Citations by year
- 2015: 1 · 2014: 1 · 2013: 2 · 2012: 1
- FWCI
- 1.26
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- HIV Clinical Trials (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Infectious Diseases › Tuberculosis Research and Epidemiology
- Health Sciences › Medicine › Surgery › Infectious Diseases and Tuberculosis
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Keywords
- tuberculosis, HIV infection, tuberculosis-HIV coinfection, latent tuberculosis infection, active tuberculosis, rifampicin, pyrazinamide, drug interactions, antiretroviral drugs, antitubercular agents, tuberculosis immunology, tuberculosis epidemiology, mortality
- MeSH terms
- Antibiotics, Antitubercular, Humans, Rifampin, Tuberculosis, Pulmonary, AIDS-Related Opportunistic Infections
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review