Sinusitus in the person with HIV infection.

Important note: Information in this article was accurate in 1994. The state of the art may have changed since the publication date.

Sinusitus in the person with HIV infection.

Annu Conf Australas Soc HIV Med. 1993 Oct 28-30;5:34 (abstract no. FC5). Unique Identifier : AIDSLINE ASHM5/94348961
van der Horst C; University of North Carolina.

Abstract: Although sinusitus is not a fatal complication of HIV infection it is nonetheless a vexing problem for my patients. The incidence and severity worsens as CD4 count declines and is often associated with intranasal drug use. Higher IgE levels are associated with worse sinusitis and atopy. Treatment must include intranasal steroids and perhaps decongestants. In the patient with elevated CD4 counts who presents with first an initial episode of sinusitis and is not on systemic antibiotics such as tmp/smx, rifabutin or clarithromycin empiric therapy with a cheap B-lactam is possible. Infections that do not respond or that occur in the face of systemic oral therapy warrant a radiologic examination, consideration of a sinus tap, and treatment with intravenous antibiotics. Chronic infection should suggest infection with fungi, anaerobes, staph aureus, and other resistant organisms.

Keywords: AIDS-Related Opportunistic Infections/DRUG THERAPY/*ETIOLOGY Chronic Disease Clarithromycin/THERAPEUTIC USE Diagnosis, Differential Human Rifabutin/THERAPEUTIC USE Sinusitis/DRUG THERAPY/*ETIOLOGY Trimethoprim-Sulfamethoxazole Combination/THERAPEUTIC USE ABSTRACT
941230
M94C4266

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