Paranasal sinus disease in HIV antibody positive patients.

Abstract

Objective-To investigate the prevalence of radiologically-diagnosed paranasal sinus disease in HIV-1 seropositive patients.

Fortnightly Review: Diagnosis and management of sinusitis

“…As is the case in patients who are HIV negative, the ethmoid and maxillary sinuses are predominantly involved. Failure to respond to medical treatment is an indication for antral aspiration to allow bacteriological identification and to indicate appropriate antibiotic treatment 65. Pathogens include Cryptococcus neoformans, cytomegalovirus, and Pseudomonas aeruginosa.…”

“…If the infection is uncomplicated a 10 day course of doxycycline may suffice 65. If a patient is systematically unwell he or she should be admitted for antral washout and intravenous antibiotics.…”