Elevated Tumor Necrosis Factor-α in Association with Severe Anemia in Human Immunodeficiency Virus Infection and Mycobacterium Avium Intracellulare Infection

Mycobacterium avium intracellulare (MAI) infection is a serious opportunistic infection that occurs in children with human immunodeficiency virus (HIV) infection. In MAI the hematologic system is profoundly affected. In the present study the hematologic manifestations of MAI in 37 HIV-infected infan...

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Veröffentlicht in:Pediatric hematology and oncology 1995, Vol.12 (3), p.221-230
Hauptverfasser: Ellaurie, Maadhava, Rubinstein, Arye
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description Mycobacterium avium intracellulare (MAI) infection is a serious opportunistic infection that occurs in children with human immunodeficiency virus (HIV) infection. In MAI the hematologic system is profoundly affected. In the present study the hematologic manifestations of MAI in 37 HIV-infected infants and children were reviewed. Anemia was the predominant feature in all patients, with severe anemia (hemoglobin < 6 g/dL) occurring in 7 of 34 (21%) patients. This was followed by leukopenia (79%), monocytosis (82%), thrombocytopenia (59%), leukoerythroblastic reaction (68%), and neutropenia (41%). Serum tumor necrosis factor (TNF)-α was markedly elevated in all patients with MAI with an X ± SE of 702 ± 182 pg/mL. There was an association between elevated TNF-α and anemia in these patients.
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In MAI the hematologic system is profoundly affected. In the present study the hematologic manifestations of MAI in 37 HIV-infected infants and children were reviewed. Anemia was the predominant feature in all patients, with severe anemia (hemoglobin &lt; 6 g/dL) occurring in 7 of 34 (21%) patients. This was followed by leukopenia (79%), monocytosis (82%), thrombocytopenia (59%), leukoerythroblastic reaction (68%), and neutropenia (41%). Serum tumor necrosis factor (TNF)-α was markedly elevated in all patients with MAI with an X ± SE of 702 ± 182 pg/mL. There was an association between elevated TNF-α and anemia in these patients.</description><subject>Adolescent</subject><subject>AIDS</subject><subject>AIDS-Related Opportunistic Infections - blood</subject><subject>AIDS-Related Opportunistic Infections - immunology</subject><subject>AIDS/HIV</subject><subject>anemia</subject><subject>Anemia - blood</subject><subject>Anemia - immunology</subject><subject>Biological and medical sciences</subject><subject>CD4 Lymphocyte Count</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>HIV</subject><subject>Humans</subject><subject>Immunodeficiencies</subject><subject>Immunodeficiencies. Immunoglobulinopathies</subject><subject>Immunopathology</subject><subject>Infant</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mycobacterium avium intracellulare (MAI)</subject><subject>Mycobacterium avium-intracellulare Infection - blood</subject><subject>Mycobacterium avium-intracellulare Infection - immunology</subject><subject>tumor necrosis factor (TNF)</subject><subject>Tumor Necrosis Factor-alpha - analysis</subject><issn>0888-0018</issn><issn>1521-0669</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kcFu1DAURS1EVYbCB7BA8gJ1F7CTOHEEm1HV0pHasqCwjV6cF42r2C52PNX8DP_Aj_BNOMwwEqrUjS35nnv1_C4hbzh7X3DWfGBSSsZ4I1jD8kZUxTOy4CLnGauq5jlZzHqWAPmCvAzhjjGWF3V-TI7rqmS8Fgvy83zEDUzY09tonKc3qLwLOtALUJPz2e9fVFu6DMEpDZN2lj7oaU2_4gY90qVFo2EmLqMBS1fGROt6HLTSaNWWftc-BrqyA6q_ZrA9vd4q16V09DoautzM58pOHhSOYxwh5R4Mr8jRAGPA1_v7hHy7OL89u8yuvnxenS2vMlWKZsokqqLuyjoXTclzLrsBOsZZLyoBTAnRo4ImvciSQ1dVPQgUVacgl6rDpofihJzucu-9-xExTK3RYZ4HLLoY2rouBS_LIoF8B85rCh6H9t5rA37bctbOnbSPOkmet_vw2BnsD459CUl_t9chKBgHD1bpcMAKUeUllwn7tMO0HZw38OD82LcTbEfn_3mKp6b4-J99jTBOa5XW3d656G1a7xN_-AMxYr03</recordid><startdate>1995</startdate><enddate>1995</enddate><creator>Ellaurie, Maadhava</creator><creator>Rubinstein, Arye</creator><general>Informa UK Ltd</general><general>Taylor &amp; Francis</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>1995</creationdate><title>Elevated Tumor Necrosis Factor-α in Association with Severe Anemia in Human Immunodeficiency Virus Infection and Mycobacterium Avium Intracellulare Infection</title><author>Ellaurie, Maadhava ; Rubinstein, Arye</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c459t-8ec37b4725941218bfab010d565a0c55deca9b01841ab66da5e56bca28cbe9da3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Adolescent</topic><topic>AIDS</topic><topic>AIDS-Related Opportunistic Infections - blood</topic><topic>AIDS-Related Opportunistic Infections - immunology</topic><topic>AIDS/HIV</topic><topic>anemia</topic><topic>Anemia - blood</topic><topic>Anemia - immunology</topic><topic>Biological and medical sciences</topic><topic>CD4 Lymphocyte Count</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Female</topic><topic>HIV</topic><topic>Humans</topic><topic>Immunodeficiencies</topic><topic>Immunodeficiencies. Immunoglobulinopathies</topic><topic>Immunopathology</topic><topic>Infant</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mycobacterium avium intracellulare (MAI)</topic><topic>Mycobacterium avium-intracellulare Infection - blood</topic><topic>Mycobacterium avium-intracellulare Infection - immunology</topic><topic>tumor necrosis factor (TNF)</topic><topic>Tumor Necrosis Factor-alpha - analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ellaurie, Maadhava</creatorcontrib><creatorcontrib>Rubinstein, Arye</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric hematology and oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ellaurie, Maadhava</au><au>Rubinstein, Arye</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Elevated Tumor Necrosis Factor-α in Association with Severe Anemia in Human Immunodeficiency Virus Infection and Mycobacterium Avium Intracellulare Infection</atitle><jtitle>Pediatric hematology and oncology</jtitle><addtitle>Pediatr Hematol Oncol</addtitle><date>1995</date><risdate>1995</risdate><volume>12</volume><issue>3</issue><spage>221</spage><epage>230</epage><pages>221-230</pages><issn>0888-0018</issn><eissn>1521-0669</eissn><coden>PHONEN</coden><abstract>Mycobacterium avium intracellulare (MAI) infection is a serious opportunistic infection that occurs in children with human immunodeficiency virus (HIV) infection. In MAI the hematologic system is profoundly affected. In the present study the hematologic manifestations of MAI in 37 HIV-infected infants and children were reviewed. Anemia was the predominant feature in all patients, with severe anemia (hemoglobin &lt; 6 g/dL) occurring in 7 of 34 (21%) patients. This was followed by leukopenia (79%), monocytosis (82%), thrombocytopenia (59%), leukoerythroblastic reaction (68%), and neutropenia (41%). Serum tumor necrosis factor (TNF)-α was markedly elevated in all patients with MAI with an X ± SE of 702 ± 182 pg/mL. There was an association between elevated TNF-α and anemia in these patients.</abstract><cop>Philadelphia, PA</cop><pub>Informa UK Ltd</pub><pmid>7640175</pmid><doi>10.3109/08880019509029563</doi><tpages>10</tpages></addata></record>
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source MEDLINE; Taylor & Francis Medical Library - CRKN; Taylor & Francis Journals Complete
subjects Adolescent
AIDS
AIDS-Related Opportunistic Infections - blood
AIDS-Related Opportunistic Infections - immunology
AIDS/HIV
anemia
Anemia - blood
Anemia - immunology
Biological and medical sciences
CD4 Lymphocyte Count
Child
Child, Preschool
Female
HIV
Humans
Immunodeficiencies
Immunodeficiencies. Immunoglobulinopathies
Immunopathology
Infant
Male
Medical sciences
Mycobacterium avium intracellulare (MAI)
Mycobacterium avium-intracellulare Infection - blood
Mycobacterium avium-intracellulare Infection - immunology
tumor necrosis factor (TNF)
Tumor Necrosis Factor-alpha - analysis
title Elevated Tumor Necrosis Factor-α in Association with Severe Anemia in Human Immunodeficiency Virus Infection and Mycobacterium Avium Intracellulare Infection
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