Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
1998-4-21
pubmed:abstractText
Seven AIDS patients who were receiving suppressive therapy for previously diagnosed cytomegalovirus (CMV) retinitis were offered treatment with protease inhibitors (PIs). Secondary prophylaxis for CMV was discontinued after 3 months of therapy with PIs if patients had >150 CD4 cells/mm3 and a human immunodeficiency virus (HIV) load of <200 copies/mL and if they were negative for CMV as determined by qualitative CMV polymerase chain reaction (PCR). Ophthalmologic exams were done periodically. After a median follow-up of 9 months (range, 9-12), no new episodes of CMV retinitis were observed. CD4 cell counts were >150 cells/mm3 in all cases, HIV loads were <200 copies/mL, and results for qualitative CMV PCRs remained negative. These observations suggest that for selected patients with healed CMV retinitis who have immunologic and virologic evidence of a clinical response to potent combination antiretroviral therapy, temporary discontinuation of a chronic anti-CMV suppressive therapy may not result in further retinal necrosis. However, the long-term immunologic benefit of PIs and hence the safety of prolonged withdrawal of anti-CMV therapy is unknown.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
0022-1899
pubmed:author
pubmed:issnType
Print
pubmed:volume
177
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1080-3
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed-meshheading:9534987-AIDS-Related Opportunistic Infections, pubmed-meshheading:9534987-Adult, pubmed-meshheading:9534987-Anti-HIV Agents, pubmed-meshheading:9534987-CD4 Lymphocyte Count, pubmed-meshheading:9534987-Cytomegalovirus, pubmed-meshheading:9534987-Cytomegalovirus Retinitis, pubmed-meshheading:9534987-DNA, Viral, pubmed-meshheading:9534987-Drug Monitoring, pubmed-meshheading:9534987-Drug Therapy, Combination, pubmed-meshheading:9534987-Female, pubmed-meshheading:9534987-Follow-Up Studies, pubmed-meshheading:9534987-Foscarnet, pubmed-meshheading:9534987-Ganciclovir, pubmed-meshheading:9534987-HIV, pubmed-meshheading:9534987-HIV Protease Inhibitors, pubmed-meshheading:9534987-Humans, pubmed-meshheading:9534987-Male, pubmed-meshheading:9534987-Polymerase Chain Reaction, pubmed-meshheading:9534987-RNA, Viral, pubmed-meshheading:9534987-Recurrence, pubmed-meshheading:9534987-Viral Load
pubmed:year
1998
pubmed:articleTitle
Long-lasting remission of cytomegalovirus retinitis without maintenance therapy in human immunodeficiency virus-infected patients.
pubmed:affiliation
Ophthalmologic Department, Germans Trias i Pujol University Hospital, Badalona, Spain.
pubmed:publicationType
Journal Article