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1996-03-04
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Document 0687
DOCN M9640687
TI Stridor in patients with HIV infection.
DT 9604
AU Laing RB; Wardrop PJ; Welsby PD; Brettle RP; Regional Infectious
Diseases Unit, City Hospital, Edinburgh, UK.
SO J Laryngol Otol. 1995 Dec;109(12):1197-9. Unique Identifier : AIDSLINE
MED/96150443
AB The immunodeficiency which results from HIV infection is associated with
a range of opportunistic infections and tumors which may present with
the symptoms of upper airways disease. This paper presents three cases
of stridor from different causes in patients with HIV infection, all of
whom recovered following treatment. The management of this problem
requires consideration of the likely aetiology which, in those with
advanced immunodeficiency, includes bacterial and fungal laryngitis and
epiglottitis as well as rapidly growing laryngeal tumours.
Recommendations for the treatment of those with HIV infection who
present with severe or rapid-onset stridor should include a combination
of aggressive airway intervention and broad-spectrum antibacterial and
antifungal agents. Laryngeal biopsy for histology and culture is
particularly important for those patients who fail to respond to the
aforementioned treatment.
DE Adult AIDS-Related Opportunistic Infections/COMPLICATIONS Case Report
Epiglottitis/COMPLICATIONS Female Human HIV Infections/*COMPLICATIONS
Laryngitis/COMPLICATIONS Lymphoma, B-Cell/COMPLICATIONS Male
Respiratory Sounds/*ETIOLOGY JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).