Publications by authors named "Carolina A Schmaltz"

Introduction: Anemia is a common condition at tuberculosis diagnosis, and there is evidence that its prevalence is higher in patients with tuberculosis than in those infected with Mycobacterium tuberculosis and healthy controls. Information about anemia during tuberculosis diagnosis is still scarce in the Brazilian population. The aim of this study was to describe the prevalence of anemia in patients with tuberculosis cared for at a referral center and its association with clinical forms of tuberculosis and other characteristics of these patients.

View Article and Find Full Text PDF

Tuberculosis (TB) is associated with systemic inflammation and anemia, which are aggravated in persons living with HIV (PLWH). Here, we characterized the dynamics of hemoglobin levels in PLWH coinfected with TB undergoing antitubercular therapy (ATT). We also examined the relationships between anemia and systemic inflammatory disturbance as well as the association between persistent anemia and unfavorable clinical outcomes.

View Article and Find Full Text PDF

Background: Little is known regarding the restoration of the specific immune response after combined antiretroviral therapy (cART) and anti-tuberculosis (TB) therapy introduction among TB-HIV patients. In this study, we examined the immune response of TB-HIV patients to Mycobacterium tuberculosis (Mtb) antigens to evaluate the response dynamics to different antigens over time. Moreover, we also evaluated the influence of two different doses of efavirenz and the factors associated with immune reconstitution.

View Article and Find Full Text PDF

Introduction: The profile of immune activation markers in tuberculosis and HIV-infected patients is already known. The impact of simultaneous infections on the immune parameters is still not fully explored.

Methods: We conducted a prospective study to estimate trajectories of activated T cell subsets and the profile of anti- and pro-inflammatory cytokines in a group of HIV-TB individuals, previously naïve for HAART, recruited from a randomized clinical trial during TB treatment and first antiretroviral therapy with efavirenz.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to identify factors influencing early mortality (within 3 months) in tuberculosis (TB) patients co-infected with HIV, comparing those who had previously started Highly Active Antiretroviral Therapy (HAART) and those who had not.
  • Among 227 patients analyzed, 14 died within the first three months, with factors like the presence of disseminated TB and unknown CD4 count significantly increasing mortality rates in HAART naïve patients.
  • Overall findings suggest that using HAART during TB treatment and having a CD4 count above 100 cells/mm3 decrease mortality risk, while those with a longer duration of TB symptoms showed higher mortality, particularly in patients who had previously started HA
View Article and Find Full Text PDF

Brain tuberculomas account for 10-20% of space occupying brain lesions in developing countries. Most lesions are observed at time of tuberculosis diagnosis or soon after starting treatment. We herein describe a 32 year-old patient with a 14-month history of headache and progressive visual loss.

View Article and Find Full Text PDF

Objective: To analyze tuberculosis treatment outcomes and their predictors.

Methods: This was a retrospective longitudinal cohort study involving tuberculosis patients treated between 2004 and 2006 at the Instituto de Pesquisa Evandro Chagas, in the city of Rio de Janeiro. We estimated adjusted risk ratios (ARRs) for the predictors of treatment outcomes.

View Article and Find Full Text PDF
Article Synopsis
  • This study assessed the effectiveness of two HAART regimens in patients with TB and HIV between June 2000 and March 2005.
  • Among 142 participants, naïve patients on an efavirenz-based regimen showed a significantly higher likelihood of achieving viral load suppression compared to those on a ritonavir/saquinavir regimen.
  • While ARV experienced patients on ritonavir/saquinavir had a better response than those on efavirenz, the results were not statistically significant, suggesting improved tolerability with both regimens.
View Article and Find Full Text PDF

Objective: To analyze the influence of HIV serostatus on mortality related to tuberculosis (TB) in the context of wide access to highly active antiretroviral therapy (HAART) in a middle-income country.

Methods: Prospective cohort study including patients who started antituberculous therapy between April 2000 and July 2005 at a referral center in Rio de Janeiro, Brazil.

Results: Two hundred seven patients were enrolled, 106 were seropositive for HIV.

View Article and Find Full Text PDF