Cerebrospinal Fluid Markers in the Management of Central Nervous System HIV Infection and the AIDS Dementia Complex

Author(s):  
Magnus Gisslén ◽  
Lars Hagberg ◽  
Paola Cinque ◽  
Bruce Brew ◽  
Richard W. Price
1992 ◽  
Vol 50 (2) ◽  
pp. 180-182 ◽  
Author(s):  
O. Perrella ◽  
M. Guerriero ◽  
E. Izzo ◽  
M. Soscia ◽  
P. B. Carrieri

We detected the cytokines interleukin-6 (IL-6) and granulocyte macrophage-CSF (GM-CSF) by ELISA in the CSF and serum of 30 HIV-infected patients classified as AIDS dementia complex (ADC), and 20 subjects with other neurological diseases (OND). We have found a high incidence of detectable IL-6 and GM-CSF in the CSF of ADC patients compared with OND patients. No statistical differences were observed between both groups for serum IL-6 and GM-CSF levels. These results suggest an intrathecal synthesis of these cytokines and a possible involvement in the pathogenesis of ADC.


Science ◽  
1988 ◽  
Vol 239 (4840) ◽  
pp. 586-592 ◽  
Author(s):  
R. Price ◽  
B Brew ◽  
J Sidtis ◽  
M Rosenblum ◽  
A. Scheck ◽  
...  

1998 ◽  
Vol 4 (3) ◽  
pp. 291-300 ◽  
Author(s):  
Dale A Mcphee ◽  
Alison L Greenway ◽  
Gavan Holloway ◽  
Karen Smith ◽  
Nick Deacon ◽  
...  

2021 ◽  
Vol 13 (1) ◽  
pp. 53-58
Author(s):  
A. M. Panteleev ◽  
O. S. Sokolova ◽  
A. V. Zonova ◽  
S. A. Panteleeva ◽  
A. V. Lutsenko

Purpose. To carry out an analysis of characteristics and to reveal the peculiarities of laboratory changes of cerebrospinal fluid (CSF) in patients with tuberculosis of central nervous system associated with HIV-infection.Materials and methods. Analysis of 206 patients with CNS tuberculosis associated with HIV-infection who were treated in State Budgetary Healthcare Institution «City tuberculosis hospital No. 2» of Saint Petersburg during the period from 2006 to 2018 was conducted.Results and discussion. It was concluded that a mean protein level in CSF was 1,6±0,1 g/l and was significantly increased in patients with tubercular meningoencephalomyelitis. When decreasing the amount of CD4-lymphocytes, increasing of protein level in cerebrospinal fluid is observed. As cytosis increases, the amount of neutrophils increases too. Patients with tuberculous meningitis showed remarkable pleocytosis in comparison with patients with meningocephalitis. In 47% of cases, neutrophilic cell composition of CSF was registered. Therewith, the rate of neutrophils in CSF increased as the rate of lymphocytes decreased. Reducing of glucose in CSF was observed in the majority of patients with CNS tuberculosis independently of severity of immunosuppression and extent of brain injury.


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