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Sinusitis in HIV-1 infection.

J J Zurlo1, I M Feuerstein, R Lebovics

  • 1National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland.

The American Journal of Medicine
|August 1, 1992
PubMed
Summary
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Sinusitis is common in patients with human immunodeficiency virus (HIV). This condition often presents without symptoms and may be linked to decreased immune function in HIV-infected individuals.

Area of Science:

  • Infectious Diseases
  • Immunology
  • Radiology

Background:

  • Sinusitis is a common condition.
  • Patients with human immunodeficiency virus type 1 (HIV-1) infection may be at increased risk for various infections, including those affecting the sinuses.

Purpose of the Study:

  • To characterize the clinical and radiographic features of sinusitis in patients with HIV-1 infection.

Main Methods:

  • Retrospective study of 145 HIV-1 infected patients who underwent sinus imaging (radiographs, CT, or MRI) between 1982 and 1989.
  • Clinical data and laboratory parameters were reviewed from medical records.

Main Results:

  • Radiographic evidence of sinusitis was found in 89 patients; 75 had adequate data for analysis.

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  • Chronic sinusitis (mucosal thickening) was present in all 75 patients. Acute sinusitis occurred in 10% of patients.
  • 67% of patients were symptomatic, while 25% were asymptomatic despite radiographic evidence of active sinusitis.
  • The mean CD4 count was 276 cells/mm3, with 43% having counts ≤100 cells/mm3, indicating significant immunocompromise.

    • Conclusions:

    • Sinusitis is frequent in HIV-infected individuals.
    • The condition is often asymptomatic and can be recurrent or refractory.
    • Sinusitis may be associated with declining immunocompetence in the context of HIV infection.