Sacko H B, Ag Mohamed A, Maiga M Y, Kalle A, Doumbia S Y, Guindo A
Service ORL, Hôpital Gabriel Touré Bamako, Mali.
Bull Soc Pathol Exot. 1995 Apr;88(5):234-5.
We realized a clinical study in 65 patients with acquired immunodeficiency syndrome, aged from 3 to 62 years old (mean, 34 years) (34 males and 31 females) interned or showed in consultations at the hospital Gabriel Touré in Bamako, Mali (departments of ENT diseases and of internal medicine), in order to analyse and to state precisely different otorhinolaryngologic manifestations in AIDS. Oropharyngeal candidiasis was the most prevalent otorhinolaryngologic manifestation (57 %). Other less common lesions were suppurative otitis media (29 %), atrophic pharyngitis (18,5 %), sinusitis (11 %), Kaposi's sarcoma (5 %) localized above all on the palate: they are however a frequent sign of infection by HIV. The manifestations merit a particular attention by otorhinolaryngologist because, although they have few influence on the general evolution of the disease, they appear as additional manifestations of infectious risks in AIDS patients.
我们在65例获得性免疫缺陷综合征患者中开展了一项临床研究,这些患者年龄在3至62岁之间(平均34岁)(男性34例,女性31例),均为马里巴马科加布里埃尔·图雷医院(耳鼻喉科和内科)收治或会诊的患者,目的是分析并确切阐述艾滋病患者不同的耳鼻喉科表现。口咽念珠菌病是最常见的耳鼻喉科表现(57%)。其他不太常见的病变包括化脓性中耳炎(29%)、萎缩性咽炎(18.5%)、鼻窦炎(11%)、卡波西肉瘤(5%),主要发生在上颚:不过它们是HIV感染的常见体征。这些表现值得耳鼻喉科医生特别关注,因为尽管它们对疾病的总体进展影响不大,但却是艾滋病患者感染风险的额外表现。