Infectious sinusitis in HIV infection. Clinical and therapeutic data on 20 patients
Lacassin, F.; Longuet, P.; Perronne, C.; Leport, C.; Gehanno, P.; Vildé, J.L.
Presse Medicale 22(19): 899-902
1993
ISSN/ISBN: 0755-4982 PMID: 8378279 Document Number: 409163
To assess the clinical presentation and outcome of infectious sinusitis in HIV-infected patients, we analyzed in a retrospective study, the records of HIV-infected patients hospitalized from June 1986 to November 1989. Twenty-eight episodes of infectious sinusitis, defined by radiological signs, were recorded in 20 HIV-infected patients. Clinical presentation suggestive of acute sinusitis was inconstant and in 6 episodes a persistent fever was the only symptom. Concomitant pneumonia was detected in 8 episodes. Bacteria were isolated in 8 episodes, and in 4 of them, Haemophilus influenzae was identified. Clinical relapses occurred in 8/20 patients, requiring a surgical drainage in 3 cases. The frequency of relapses and the possibility of chronicity justify a more prolonged and aggressive therapy in infectious sinusitis occurring in HIV-infected patients.