Sinusitis in HIV-1 infection

John J. Zurlo, Irwin M. Feuerstein, Robert Lebovics, H. Clifford Lane

Research output: Contribution to journalArticle

70 Citations (Scopus)

Abstract

purpose: To determine the clinical and radiographic characteristics of sinusitis in patients with human immunodeficiency virus type 1 (HIV-1) infection. patients and methods: A retrospective study was performed that identified all HIV-1-infected patients with sinus radiographs, sinus computed tomograms, or magnetic resonance imaging of the head between 1982 and 1989 (n = 145). Medical record review detailed the clinical course and laboratory parameters in all patients. results: Eighty-nine patients had radiographic evidence of sinusitis; 75 patients had adequate clinical data and comprise the study group. Acute sinusitis was seen in 10 patients (13%), while all 75 patients had mucosal thickening indicative of chronic sinusitis. Fifty patients (67%) were symptomatic with fever, nasal congestion or discharge, and headache being the most common symptoms; nineteen patients (25%) were asymptomatic when their radiographs showed active disease. The mean CD4 count for the group was 276 cells/mm3; 32 (43%) had CD4 counts less than or equal to 100 cells/mm3. Twenty-three patients (31%) received antibiotics orally, parenterally, or both. conclusions: Sinusitis appears to occur frequently in HIV-infected patients, is often asymptomatic, may be recurrent or refractory, and may be associated with declining immunocompetence in HIV-infected patients.

Original languageEnglish (US)
Pages (from-to)157-162
Number of pages6
JournalThe American Journal of Medicine
Volume93
Issue number2
StatePublished - Aug 1 1992

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Sinusitis
Virus Diseases
HIV-1
CD4 Lymphocyte Count
HIV
Immunocompetence
Nose
Medical Records
Headache
Fever
Retrospective Studies
Head
Magnetic Resonance Imaging

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Zurlo, J. J., Feuerstein, I. M., Lebovics, R., & Lane, H. C. (1992). Sinusitis in HIV-1 infection. The American Journal of Medicine, 93(2), 157-162.
Zurlo, John J. ; Feuerstein, Irwin M. ; Lebovics, Robert ; Lane, H. Clifford. / Sinusitis in HIV-1 infection. In: The American Journal of Medicine. 1992 ; Vol. 93, No. 2. pp. 157-162.
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Zurlo, JJ, Feuerstein, IM, Lebovics, R & Lane, HC 1992, 'Sinusitis in HIV-1 infection', The American Journal of Medicine, vol. 93, no. 2, pp. 157-162.

Sinusitis in HIV-1 infection. / Zurlo, John J.; Feuerstein, Irwin M.; Lebovics, Robert; Lane, H. Clifford.

In: The American Journal of Medicine, Vol. 93, No. 2, 01.08.1992, p. 157-162.

Research output: Contribution to journalArticle

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N2 - purpose: To determine the clinical and radiographic characteristics of sinusitis in patients with human immunodeficiency virus type 1 (HIV-1) infection. patients and methods: A retrospective study was performed that identified all HIV-1-infected patients with sinus radiographs, sinus computed tomograms, or magnetic resonance imaging of the head between 1982 and 1989 (n = 145). Medical record review detailed the clinical course and laboratory parameters in all patients. results: Eighty-nine patients had radiographic evidence of sinusitis; 75 patients had adequate clinical data and comprise the study group. Acute sinusitis was seen in 10 patients (13%), while all 75 patients had mucosal thickening indicative of chronic sinusitis. Fifty patients (67%) were symptomatic with fever, nasal congestion or discharge, and headache being the most common symptoms; nineteen patients (25%) were asymptomatic when their radiographs showed active disease. The mean CD4 count for the group was 276 cells/mm3; 32 (43%) had CD4 counts less than or equal to 100 cells/mm3. Twenty-three patients (31%) received antibiotics orally, parenterally, or both. conclusions: Sinusitis appears to occur frequently in HIV-infected patients, is often asymptomatic, may be recurrent or refractory, and may be associated with declining immunocompetence in HIV-infected patients.

AB - purpose: To determine the clinical and radiographic characteristics of sinusitis in patients with human immunodeficiency virus type 1 (HIV-1) infection. patients and methods: A retrospective study was performed that identified all HIV-1-infected patients with sinus radiographs, sinus computed tomograms, or magnetic resonance imaging of the head between 1982 and 1989 (n = 145). Medical record review detailed the clinical course and laboratory parameters in all patients. results: Eighty-nine patients had radiographic evidence of sinusitis; 75 patients had adequate clinical data and comprise the study group. Acute sinusitis was seen in 10 patients (13%), while all 75 patients had mucosal thickening indicative of chronic sinusitis. Fifty patients (67%) were symptomatic with fever, nasal congestion or discharge, and headache being the most common symptoms; nineteen patients (25%) were asymptomatic when their radiographs showed active disease. The mean CD4 count for the group was 276 cells/mm3; 32 (43%) had CD4 counts less than or equal to 100 cells/mm3. Twenty-three patients (31%) received antibiotics orally, parenterally, or both. conclusions: Sinusitis appears to occur frequently in HIV-infected patients, is often asymptomatic, may be recurrent or refractory, and may be associated with declining immunocompetence in HIV-infected patients.

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Zurlo JJ, Feuerstein IM, Lebovics R, Lane HC. Sinusitis in HIV-1 infection. The American Journal of Medicine. 1992 Aug 1;93(2):157-162.