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Year : 2006  |  Volume : 9  |  Issue : 3  |  Page : 82-85

Otorhinolaryngological manifestations among hiv/aids patients in a nigerian tertiary health institution - a preliminary study

Department of Otolaryngology, College of M edicine, U niversit y of Ilorin, Nigeria

Correspondence Address:
S B Alabi
Department of Otolaryngology, College of Medicine, University of Ilorin, P.O. Box 4210, Ilorin
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Background/Aim: Human immunodeficiency virus/acquired immunodeficiency syndrome (HIV!AIDS ) Is gradually rising to an epidemic level In Nigeria and could be a leading cause of death In the most productive age group of the economy. Otorhinolaryngological manifestations occur frequently in these patients bringing them In contact wit h t he Otolaryngologists.This study is to evaluate the prevalence of these manifestations amongst them. Patients and Methods: This prospective study was carried out among HIV!AI DS positive patients evaluated for otorhinolaryngological feat ures of the disease at the Otolaryngological clinic of the University of llorin Teaching Hospital , llorin , Nigeria between January and September 2004 . Results: Twenty three (23 out of he t went y nine (29 ) patients evaluated for otorhinolaryngological features had otorhinolaryngological manifestations (78%). T he age range was otorhinolaryngologicalfrom 2 years and 70 years with a mean of 32.5 years and a peak age of 20 to 4 9 years (65% ). The male/female ratio was 1 .6 to 1 .0.Most of these patients were students (58.2% ) and identifiable risk factors of unprotected heterosexual contacts, drug addictions and lack of usage of protective devices against the scourge was only possible I n only 16 .7% of them. Commonest lesion was oralioropharyngeal candidiasis (52.18% ) ; Nasal {Chronic rhinosinusitis , (17.39%)}; Otological {Sensorineural hearing loss (13.04%)}; cervical lymphadenopathy (13.04%) and laryngologlcal { Epiglottitis (4.35%)}. Conclusions: Otorhinolaryngologlcal manifestations were found In 78% of these patients. The common lesions were oral/pharyngeal candidiasis , chronic rhlnosinusitis, and sensorineural hearing loss with cervical lymphadenopath y In that ord er. Clinicians es peciall y otolaryngologists should have a high level of suspicion of HIVIAI DS Infections in patients with these features In their day-to-day practice.

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