Lorenz K, Boone J, Koeller K, Grillo M, Olson P, Nowacki M, Wallace M; International Conference on AIDS.
Int Conf AIDS. 1996 Jul 7-12; 11: 295 (abstract no. Tu.B.2179).
Naval Medical Center, San Diego, CA. Fax: 619-532-7478.
Objective: To evaluate diagnostic methods in community-acquired sinusitis in subjects with AIDS (by CDC criteria). Methods: We prospectively followed subjects with AIDS for symptoms of sinusitis from January 1995 to January 1996. 110 subjects with AIDS were surveyed for symptoms of sinusitis including persistent nasal discharge, facial/sinus pain, and persistent nasal congestion unresponsive to decongestants. Subjects were evaluated with nasal smears, nasal endoscopy, plain radiography, and computerized tomography (CT) of the paranasal sinuses. Results: 57 subjects (52%) reported symptoms compatible with sinusitis, of whom 19 (33%) consented to the protocol. Computerized tomography demonstrated evidence of sinusitis in 16 of 18 subjects (89%) and was helpful in demonstrating septal deviation in a subject with normal sinuses. Plain radiography failed to demonstrate sinus disease in 10 cases that were abnormal by coronal CT and failed to add additional diagnostic information in the remaining cases. Nasal endoscopy demonstrated sinus osteal purulence in two cases with radiographic sinusitis and was helpful in identifying findings consistent with allergic rhinitis in one additional case. Nasal smears revealed significant neutrophilia in 4 of 16 (25%) of cases with radiographic sinusitis. Conclusion: Coronal CT and nasal endoscopy were complementary in studying subjects with clinical sinusitis. Plain radiographs and nasal smears did not meaningfully contribute to diagnosis in this small case series.
Publication Types:
Keywords:
- Acquired Immunodeficiency Syndrome
- Biomedical Research
- Case-Control Studies
- Common Cold
- Endoscopy
- Face
- Nose
- Nose Diseases
- Paranasal Sinuses
- Rhinitis
- Sinusitis
- Tomography, X-Ray Computed
- diagnosis
- radiography
Other ID:
UI: 102218283
From Meeting Abstracts