Hostname: page-component-cd9895bd7-dzt6s Total loading time: 0 Render date: 2024-12-27T13:31:31.135Z Has data issue: false hasContentIssue false
  • English
  • Français

Stridor in patients with HIV infection

Published online by Cambridge University Press:  29 June 2007

R. B. S. Laing ,
P. J. C. Wardrop ,
P. D. Welsby  and
R. P. Brettle
R. B. S. Laing*
Affiliation:
The Royal Infirmary, Edinburgh, UK.
P. J. C. Wardrop
Affiliation:
Regional Infectious Diseases Unit, City Hospital, Department of Otolaryngology, Edinburgh, UK.
P. D. Welsby
Affiliation:
The Royal Infirmary, Edinburgh, UK.
R. P. Brettle
Affiliation:
The Royal Infirmary, Edinburgh, UK.
*
R. B. S. Laing, Regional Infectious Diseases Unit, Ward 17, City Hospital, Greenbank Drive, Edinburgh EH1O 5SB.
Get access Rights & Permissions [Opens in a new window]

Abstract

The immunodeficiency which results from HIV infection is associated with a range of opportunistic infections and tumours 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 rapidonset 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.

Keywords

Human immunodeficiency viruses (HIV)Respiratory soundsLymphomaCandidaEpiglottitisLaryngitis
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 12 , December 1995 , pp. 1197 - 1199
Copyright
Copyright © JLO (1984) Limited 1995

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bullingham, A., Mackenzie, S. (1989) Laryngeal obstruction in HIV infection. Anaesthesia 44: 1003–1004.CrossRefGoogle ScholarPubMed
Deeb, Z. E., Yenson, A. C., Defries, H. O. (1985) Acute epiglottitis in the adult. Laryngoscope 95: 289–291.CrossRefGoogle ScholarPubMed
Feigal, D. W., Katz, M. H., Greenspan, D., Westenhouse, J., Winkelstein, W., Lang, W., Samuel, M., Buchbinder, S. P., Hessol, N. A., Lifson, A. R., Rutherford, G. W., Moss, A., Osmond, D., Shiboski, S., Greenspan, G. S. (1991) The prevalence of oral lesions in HI V-infected homosexual and bisexual men: three San Francisco epidemiological cohorts. AIDS 5: 519–525.CrossRefGoogle Scholar
Gachupin, G. A., Selwyn, P. A., Budner, N. S. (1992) Population-based study of malignancies and HIV infection among injecting drug users in a New York City methadone program, 1985—1991. AIDS 6: 843–848.CrossRefGoogle Scholar
Greenberg, J. E., Fischl, M. A., Berger, J. R. (1985) Upper airway obstruction secondary to acquired immune deficiency syndrome. Chest 88: 638–640.CrossRefGoogle Scholar
Horsburgh, C. R., Metchock, B. G., McGowan, J. E., Thompson, S. E. (1992) Clinical implications of recovery of Mycobacterium avium complex from the stool or respiratory tract of HIV-infected individuals. AIDS 6: 512–514.Google ScholarPubMed
Leess, F. R., Kessler, D. J., Mickel, R. A. (1987) Non- Hodgkin's lymphoma of the head and neck in patients with AIDS. Archives of Otolaryngology — Head and Neck Surgery 113: 1104–1106.CrossRefGoogle ScholarPubMed
Levine, A. M. (1990) Lymphoma in acquired immune deficiency syndrome. Seminars in Oncology 17: 104–122.Google Scholar
Meduri, G. U., Stover, D. E., Lee, M., Myskowski, P. L., Caravelli, J. F., Zaman, M. B. (1986) Pulmonary Kaposi's sarcoma in the acquired immune deficiency syndrome. American Journal of Medicine 81: 11–18.CrossRefGoogle ScholarPubMed
Rivron, R. P., Murray, J. A. M. (1991) Adult epiglottitis: is there a consensus on diagnosis and treatment? Clinical Otolaryngology 16: 338–344.CrossRefGoogle Scholar
Roig, P., Carrasco, R., Salavert, M., Navarro, V., Guix, J., Nieto, A., Bernacer, B. (1992) Candida laryngitis and HIV infection: description of four cases. Revista Clinica Espahola 191: 261–263.Google Scholar
Roland, J. T., Rothstein, S. G., Mittal, K. R., Persky, M. S. (1993) Squamous cell carcinoma in HIV-positive patients under age 45. Laryngoscope 103: 509–511.CrossRefGoogle ScholarPubMed
Rothstein, S. G., Persky, M. S., Edelman, B. A., Gittleman, P. E., Stroschein, M. (1989) Epiglottitis in AIDS patients. Laryngoscope 99: 389–392.CrossRefGoogle ScholarPubMed
Steinhart, R., Reingold, A. L., Taylor, F., Anderson, G., Wenger, J. D. (1992) Invasive Haemophilus influenzae infections in men with HIV infection. Journal of the American Medical Association 26S: 3350–3352.CrossRefGoogle Scholar
Tashijian, L., Peacock, J. (1984) Laryngeal candidiasis. Report of seven cases and review of the literature. Archives of Otolaryngology 110: 806–809.CrossRefGoogle Scholar
Tawfik, O. W., Papasian, C. J., Dixon, A. Y., Potter, L. M. (1989) Saccharomyces cerevisiae pneumonia in a patient with acquired immune deficiency syndrome. Journal of Clinical Microbiology 27: 1689–1691.CrossRefGoogle Scholar