Otorhinolaryngological Manifestations among HIV Positive Children in Coastal Karnataka
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Published on: September 14, 2010
Yamini1, Chetan Mandelia2, Suja Sreedharan3
1PGY-1 Pediatrics, University of Texas Medical Branch Hospitals , Galveston, Texas, USA .
Introduction:
With changed clinical profile of HIV related diseases, our study attempted to analyse otorhinolaryngological manifestations in HIV positive children coming to ART centre of a tertiary referral in South India.
Materials And Methods:
Records of 137 children registered at ART Centre, Government Wenlock Hospital, Kasturba Medical College, Mangalore from 2004 till 2010 were studied and data for this retrospective study was collected.
Results:
Twenty three (16.8%) children developed otorhinolaryngological manifestations, which were upper respiratory tract infection (13.1%), oral candidiasis (1.4%), otitis media (1.4%) and parotitis (1%). With increasing WHO stage, the ENT manifestations increased (p<0.05) while CD4 count decreased (p>0.05), 35% and 44% cases with ENT manifestations had CD4 counts above 500 cells/mm3 and below 200 cells/mm3 respectively (p>0.05). 24% children on HAART and 10.7% not on HAART developed ENT illnesses (p<0.05).
Conclusion:
With the current ART protocols, ENT manifestations are seen in 17% HIV positive children, most of which are aspecific.
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