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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.
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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

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