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Clinical characteristics and cerebro-spinal fluid cytokine changes in patients with acquired immunodeficiency syndrome and central nervous system infection

  • Authors:
    • Zhong Chen
    • Ning Wang
    • Yaxiong Huang
    • Min Wang
  • View Affiliations / Copyright

    Affiliations: Department of Acquired Immunodeficiency Syndrome, The First Hospital of Changsha, Changsha, Hunan 410005, P.R. China
    Copyright: © Chen et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Pages: 523-530
    |
    Published online on: May 16, 2019
       https://doi.org/10.3892/etm.2019.7587
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Abstract

Clinical characteristics and the cerebro-spinal fluid (CSF) cytokine changes in acquired immunodeficiency syndrome (AIDS) patients with tuberculous meningitis and cryptococcal meningitis in central nervous system (CNS) infections before and after treatment were investigated. The clinical records of 80 AIDS patients with CNS infections and 40 non-CNS infection patients hospitalized in the Infection Department of the First Hospital of Changsha from February 2013 to March 2016 were retrospectively analyzed. Forty-one cases of AIDS complicated with tuberculous meningitis were enrolled as group A, 39 cases of AIDS complicated with cryptococcal meningitis as group B, and 40 cases of non-CNS infection with lumbar puncture indication as group C. The general data, clinical symptoms, CSF examination and prognosis of the three groups of patients were collected. Of the 80 patients, 56 patients were discharged from hospital (improvement group) and 24 died (death group) after treatment. The concentrations of interferon-γ (IFN‑γ), interleukin-6 (IL-6), interleukin-10 (IL-10) and tumor necrosis factor-α (TNF-α) in CSF were detected by enzyme‑linked immunosorbent assay. There were significant differences in clinical manifestations, CSF pressure, CSF leucocyte count, CSF glucose, CSF chloride and CSF protein between group A, group B and group C (P<0.05). The concentrations of IFN-γ, IL-6, IL-10 and TNF-α in CSF of group A and group B increased significantly compared with group C (P<0.001). The IL-6, IL-10 and TNF-α levels in CSF in the improvement group were significantly lower than those in the death group (P<0.001), while the concentration of IFN-γ increased significantly (P<0.001). CSF biochemistry is characterized by increased pressure, leucocyte count and protein, and decreased chloride and glucose. IFN-γ, IL-6, IL-10 and TNF-α in CSF have certain predictive value for poor prognosis of AIDS patients with CNS infection.
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Copy and paste a formatted citation
Spandidos Publications style
Chen Z, Wang N, Huang Y and Wang M: Clinical characteristics and cerebro-spinal fluid cytokine changes in patients with acquired immunodeficiency syndrome and central nervous system infection. Exp Ther Med 18: 523-530, 2019.
APA
Chen, Z., Wang, N., Huang, Y., & Wang, M. (2019). Clinical characteristics and cerebro-spinal fluid cytokine changes in patients with acquired immunodeficiency syndrome and central nervous system infection. Experimental and Therapeutic Medicine, 18, 523-530. https://doi.org/10.3892/etm.2019.7587
MLA
Chen, Z., Wang, N., Huang, Y., Wang, M."Clinical characteristics and cerebro-spinal fluid cytokine changes in patients with acquired immunodeficiency syndrome and central nervous system infection". Experimental and Therapeutic Medicine 18.1 (2019): 523-530.
Chicago
Chen, Z., Wang, N., Huang, Y., Wang, M."Clinical characteristics and cerebro-spinal fluid cytokine changes in patients with acquired immunodeficiency syndrome and central nervous system infection". Experimental and Therapeutic Medicine 18, no. 1 (2019): 523-530. https://doi.org/10.3892/etm.2019.7587
Copy and paste a formatted citation
x
Spandidos Publications style
Chen Z, Wang N, Huang Y and Wang M: Clinical characteristics and cerebro-spinal fluid cytokine changes in patients with acquired immunodeficiency syndrome and central nervous system infection. Exp Ther Med 18: 523-530, 2019.
APA
Chen, Z., Wang, N., Huang, Y., & Wang, M. (2019). Clinical characteristics and cerebro-spinal fluid cytokine changes in patients with acquired immunodeficiency syndrome and central nervous system infection. Experimental and Therapeutic Medicine, 18, 523-530. https://doi.org/10.3892/etm.2019.7587
MLA
Chen, Z., Wang, N., Huang, Y., Wang, M."Clinical characteristics and cerebro-spinal fluid cytokine changes in patients with acquired immunodeficiency syndrome and central nervous system infection". Experimental and Therapeutic Medicine 18.1 (2019): 523-530.
Chicago
Chen, Z., Wang, N., Huang, Y., Wang, M."Clinical characteristics and cerebro-spinal fluid cytokine changes in patients with acquired immunodeficiency syndrome and central nervous system infection". Experimental and Therapeutic Medicine 18, no. 1 (2019): 523-530. https://doi.org/10.3892/etm.2019.7587
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