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Arquivos Internacionais de Otorrinolaringologia 2010; 14(04): 398-403
DOI: 10.1590/S1809-48722010000400003
Original Article
Thieme Publicações Ltda Rio de Janeiro, Brazil

Otolaryngologic Manifestations Among Hiv/Aids Patients in a Nigerian Tertiary Health Institution: An Update

Manifestações Otorrinolaringológicas entre Pacientes com HIV / AIDS em Instituição de Saúde Terciária da Nigéria: Uma Atualização
ALabi Biodun Sulyman Dr.
*   DR (Senior Lecturer & Consultant Ent, Head & Neck Surgeon).
,
Salami Alakija Kazeem Dr.
**   Dr (Reader in Pulmonolgy and Infectitious Disease, Dept of Medicine, University of Ilorin Teaching Hospital, Ilorin, Kwara State. Nigeria).
,
Afolabi Abdulrahman Dr.
***   Consultant ENT Surgeon, Dept of Ent, University of Ilorin Teaching Hospital, Ilorin, Nigeria (Consultant ent surgeon).
,
Dunmade David Dr.
****   Dr (Senior Lecturer & Consultant Ent Surgeon, Dept of Ent, UITH, Ilorin, Nigeria).
,
Aremu Shuaib Kayode
*****   DR (Post Fellowship Senior Registrar, Dept of Ent, UITH, Ilorin, Nigeria).
,
Olawunmi Oluwayemisi
******   Dr (Senior Lecturer & Consultant Haematologist, Dept of Haematology, UITH, Ilorin, Nigeria).
,
Akande Halima Jumai
******   Dr (Senior Lecturer & Consultant Haematologist, Dept of Haematology, UITH, Ilorin, Nigeria).
,
Odeigha LO
*******   Dr (Lecturer and Consultant Radiologist, Dept of Radiology, UITH, Ilorin, Nigeria).
› Author Affiliations
Further Information

Publication History

06 June 2010

07 July 2010

Publication Date:
12 February 2014 (online)

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Summary

Introduction/Aim: This study is to determine these manifestations among HIV/AIDS patients in Ilorin to update on previous study.

Method: This was a prospective study of all consecutive new patients confirmed to be HIV positive attending the HIV clinic of the University of Ilorin Teaching Hospital, Ilorin, Kwara state, Nigeria between January and July, 2009. These patients were on HAART anti retroviral drug treatment. The information retrieved included the biodata, clinical presentation, otolaryngologic clinical findings, as well as their hearing assessment with Pure tone audiometry.

Results: 74 out of the 89 HIV patients(82.8%) had otorhinolaryngological manifestations with the age range of 3 to 62 years (Mean of 36.4 yrs, SD = 2.45 ±  0.02). The modal age range was 21-40 years (59.6%) 51males (57.3%) and 38 females (42.7%) and a sex ratio of 1.3:1. Commonest otorhinolaryngological features included nasal in 45.6% (chronic rhinosinusitis), oral/oropharyngeal in 23.9% (oral candidiasis), otological in 21.5% (Serous otitis media) and cervical adenopathy in 9%.

Conclusion: Otorhinolaryngological manifestations were found in 74 patients (82.8%) and commonest features included chronic sinusitis, oral/pharyngeal candidiasis, serous otitis media with cervical adeopathy in that order. It is important for otolaryngologists to be aware of otolaryngological manifestations, so early diagnosis and timely intervention alongside appropriate anti-retroviral therapy be instituted to improve survival rates.

Resumo

Introdução / Objetivo: Este estudo é determinar essas manifestações de pacientes com HIV / AIDS em Ilorin para atualizar no estudo anterior.

Método: Este foi um estudo prospectivo de todos os pacientes consecutivos novo confirmado para ser HIV positivo atendidos na clínica de HIV da Universidade de Ilorin Hospital, Ilorin, no estado de Kwara, na Nigéria, entre janeiro e julho de 2009. These estavam em anti HAART tratamento de drogas retrovirais. As informações recuperadas incluído o de dados biográficos, apresentação clínica, otorrinolaringológicas achados clínicos, bem como a sua avaliação da audição com audiometria tonal.

Resultados: 74 fora dos 89 pacientes HIV (82,8 %) apresentaram manifestações otorrinolaringológicas com a faixa etária de 3 a 62 anos (média de 36.4 anos, DP = 2,45 ± 0,02). A faixa etária modal era de 21 40 anos (59,6%) 51 masculinos. (57,3 %) e 38females (42,7 %) e razão sexual de 1,3:1. Apresenta os mais comuns otorrinolaringológico incluíram nasal em 45,6% (rinossinusite crônica), adenopatia oral / orofaringe em 23,9% (candidíase oral), otológica em 21,5% (otite média serosa) e cervical em 9%.

Conclusão: As manifestações otorrinolaringológicas foram encontrados em 74 pacientes (82,8%) e as características comuns sinusite crônica, oral / candidíase faringe, otite média serosa com adeopathy cervical , nessa ordem. É importante para os otorrinos estar ciente das manifestações otorrinolaringológicas, assim que o diagnóstico precoce e intervenção atempada junto com terapia anti- retroviral adequado ser instituído para melhorar as taxas de sobrevivência

Keywords

sinusitis - otitis media with effusion - candidiasis oral - HIV

Palavras-chave

sinusite - otite média com efusão - candidíase bucal - HIV
 

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