Evidence map›Paper›PMID 22752438›Full record

ReviewCurrent HIV/AIDS reports2012

Management of the immune reconstitution inflammatory syndrome.

Graeme Meintjes, James Scriven, Suzaan Marais

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current HIV/AIDS reports, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Guideline
  3. Trial
  4. Article
  5. Article
  6. Review
  7. DisseminatedInfection and drug resistance · 2026
    Article
  8. Article
  9. Review
  10. Article
  11. Tuberculous compound palmar ganglion: unravelling a rare diagnosis.International journal of burns and trauma · 2025
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Complexity ofBMJ case reports · 2021
    Article
  19. DisseminatedBMJ case reports · 2021
    Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Graeme MeintjesInstitute of Infectious Diseases and Molecular Medicine, University of Cape Town, Cape Town, South Africa. graemein@mweb.co.za
James Scriven
Suzaan Marais

Funding

PHS HHS 1U2RTW007370PHS HHS 1U2RTW007373-01A1Wellcome Trust
6 · The paper itself

Abstract

The immune reconstitution inflammatory syndrome (IRIS) is a frequent early complication of antiretroviral therapy (ART) in patients with advanced HIV. Because there is no confirmatory diagnostic test, the diagnosis is based on clinical presentation and exclusion of alternative causes for deterioration, such as antimicrobial drug resistance. Opportunistic infection treatment should be optimized. Mild cases may require symptomatic therapy alone or nonsteroidal anti-inflammatory drugs. Corticosteroids have been used to treat more severe cases of IRIS associated with mycobacterial and fungal infections. There is evidence from a randomized controlled trial that prednisone reduces morbidity and improves symptoms in paradoxical tuberculosis (TB)-IRIS. Neurological TB-IRIS is potentially life-threatening; high-dose corticosteroids are indicated and ART interruption should be considered if level of consciousness is depressed. When considering corticosteroid treatment clinicians should be aware of their side effects and only use them when the diagnosis of IRIS is certain. In viral forms of IRIS corticosteroids are generally avoided.

Indexed as

Acquired Immunodeficiency SyndromeAdrenal Cortex HormonesAIDS-Related Opportunistic InfectionsAnti-HIV AgentsAnti-Inflammatory Agents, Non-SteroidalFemaleHumansImmune Reconstitution Inflammatory SyndromeMaleMycobacterium InfectionsTuberculosisAdrenal Cortex HormonesAnti-HIV AgentsAnti-Inflammatory Agents, Non-Steroidal

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.