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Prevalence of maxillary sinusitis in patients with HIV (PWH): comparison with a control population (CP).


Natl Conf Hum Retroviruses Relat Infect (1st). 1993 Dec 12-16;:143.

OBJECTIVE: To evaluate the prevalence of radiographic evidence of chronic or acute maxillary sinusitis in PWH in comparison with CP on cerebral CT scan imaging. METHODS: Retrospective analysis of cerebral CT scans performed from January 1991 to September 1992, in 157 PWH [mean age = 36.04 years +/- 10.6, male = 128 (81.5%), asymptomatic = 12 (8%), ARC=63 (40%), AIDS = 82 (52%), mean CD4 cell count = 284/mm3 +/- 262] and in 140 CP [mean age = 40.75 years +/- 13.6, male = 85 (60.7%), immunocompromised = 28 (20%)]. Two independent observers analyzed each cerebral CT scan and noted the radiographic features as : 0 = normal, 1 = less than 25% opacification of the sinus, 2 = 25 to 75% opacification, 3 = greater than 75% opacification and 4 = hydro-aeric level; evidence of sinusitis was designed by 3 or 4. CT scan were performed because of sinusitis or unexplained fever in 17 PWH (11%) and in 14 CP (10%). RESULTS: (Table: see text). CONCLUSION: This study confirms that maxillary sinusitis seems to be more frequent in PWH than in CP. Our data justify the realization of radiographic imaging especially cerebral CT scan when unexplained fever occurs in PWH.

Human HIV Seropositivity/*COMPLICATIONS Microbial Sensitivity Tests Retrospective Studies Sinusitis/*COMPLICATIONS/DRUG THERAPY/MICROBIOLOGY ABSTRACT


Information in this article was accurate in December 30, 1995. The state of the art may have changed since the publication date. This material is designed to support, not replace, the relationship that exists between you and your doctor. Always discuss treatment options with a doctor who specializes in treating HIV.