TY  - CHAP
M1  - Book, Section
TI  - Otologic Manifestations of AIDS
A1  - Lustig, Lawrence R.
A1  - Schindler, Joshua S.
A2  - Papadakis, Maxine A.
A2  - McPhee, Stephen J.
A2  - Rabow, Michael W.
A2  - McQuaid, Kenneth R.
Y1  - 2022
N1  - 
T2  - Current Medical Diagnosis & Treatment 2022
AB  - The  otologic  manifestations  of  AIDS  are  protean.  The  pinna  and  external  auditory  canal  may  be  affected  by  Kaposi  sarcoma  and  by  persistent  and  potentially  invasive  fungal  infections  (particularly  Aspergillus  fumigatus).  Serous  otitis  media  due  to  eustachian  tube  dysfunction  may  arise  from  adenoidal  hypertrophy  (HIV  lymphadenopathy),  recurrent  mucosal  viral  infections,  or  an  obstructing  nasopharyngeal  tumor  (eg,  lymphoma).  Unfortunately,  ventilating  tubes  are  seldom  helpful  and  may  trigger  profuse  watery  otorrhea.  Acute  otitis  media  is  usually  caused  by  typical  bacterial  organisms,  including  Proteus,  Staphylococcus,  and  Pseudomonas,  and  rarely,  by  Pneumocystis  jirovecii.  Sensorineural  hearing  loss  is  common  and,  in  some  cases,  results  from  viral  CNS  infection.  In  cases  of  progressive  hearing  loss,  cryptococcal  meningitis  and  syphilis  must  be  excluded.  Acute  facial  paralysis  due  to  herpes  zoster  infection  (Ramsay  Hunt  syndrome)  occurs  commonly  and  follows  a  clinical  course  similar  to  that  in  nonimmunocompromised  patients.  Treatment  is  with  high-dose  acyclovir  (see  Chapter  32).  Corticosteroids  may  also  be  effective  as  an  adjunct.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - accessmedicine.mhmedical.com/content.aspx?aid=1184157069
ER  -