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Medicina (Buenos Aires)
Print version ISSN 0025-7680On-line version ISSN 1669-9106
Abstract
CORTI, Marcelo E. and PALMERO, Domingo J.. Anti-retroviral treatment in patients with AIDS and mycobacterial diseases. Medicina (B. Aires) [online]. 2005, vol.65, n.4, pp.353-360. ISSN 0025-7680.
Tuberculosis and other mycobacterial diseases are frequent coinfections in AIDS patients with an increased related mortality. In this review we have updated the treatment of the main mycobacterial diseases (tuberculosis and Mycobacterium avium disease), under the scope of pharmacological interactions between antimycobacterial drugs, specially rifampicin and clarithromycin, and anti-retroviral drugs. Antimycobacterial treatment schemes, their duration, primary and secondary chemoprophylaxis and the optimal time to start the anti-retroviral therapy are analized. Finally, the immnune reconstitution inflammatory syndrome and its treatment are discussed.
Keywords : tuberculosis; mycobacterial diseases; aids; anti-retroviral therapy.