Linstrom C J, Pincus R L, Leavitt E B, Urbina M C
Department of Otolaryngology, New York Eye and Ear Infirmary, NY 10003.
Otolaryngol Head Neck Surg. 1993 Jun;108(6):680-7. doi: 10.1177/019459989310800609.
Human immunodeficiency virus (HIV), the causative agent of acquired immunodeficiency syndrome (AIDS), has reached worldwide epidemic proportions and is increasing. Otologists, neurotologists, and audiologists practicing in metropolitan centers in North America can expect to encounter patients with HIV-related illnesses, including patients with AIDS-related complex (ARC) and AIDS. Five representative cases are presented: chronic otitis media, facial palsy, Gradenigo's syndrome with facial paralysis, otosyphilis, and Kaposi sarcoma of the mastoid. The common link in all cases was HIV infection. This presentation discusses the management of several HIV-infected patients with otologic and neurotologic findings. HIV infection has extended to all parts of North America. The worldwide incidence is increasing. As the epidemic continues to unfold, new challenges to both the diagnosis and treatment of otologic and neurotologic disease in HIV-positive patients will confront the audiologist and otolaryngologist. Recommendations for the safety of the examining audiologist and treating physician are given.
人类免疫缺陷病毒（HIV）是获得性免疫缺陷综合征（AIDS）的病原体，已在全球范围内流行且呈上升趋势。在北美大都市中心执业的耳科医生、神经耳科医生和听力学家可能会遇到与HIV相关疾病的患者，包括艾滋病相关综合征（ARC）和艾滋病患者。本文介绍了五个典型病例：慢性中耳炎、面神经麻痹、伴有面神经麻痹的Gradenigo综合征、耳梅毒以及乳突部的卡波西肉瘤。所有病例的共同关联因素是HIV感染。本报告讨论了几名有耳科和神经耳科检查结果的HIV感染患者的治疗情况。HIV感染已蔓延至北美各地。全球发病率正在上升。随着疫情的持续发展，听力学家和耳鼻喉科医生将面临HIV阳性患者耳科和神经耳科疾病诊断和治疗方面的新挑战。文中给出了对进行检查的听力学家和治疗医生的安全建议。
