Manifestations of HIV and aids in otorhinolaryngology, head and neck region in adults at Kenyatta National Hospital
Abstract
Aim: To determine the range and pattern of Head and Neck
otorhinolaryngological manifestations of HIV and AIDS.
Settings: ENT -HN unit, Medical wards and eee of Kenyatta National Hospital.
Methodology: A descriptive cross-sectional study was carried out among 277
HIV infected adults, comprising 167 females and 110 males aged 13-59 years
(Mean =35.29). A modified University of Western Cape data collection form was
used to record the information, which included sociodermographic data and
presence of ENT symptoms and signs. Data entry was done using SPSS
program and analyzed. Chi-square and T-tests were used to determine any
relationship between categorical and continuous variables respectively.
Results: Out of 277 HIV infected patients enrolled for the study 71% of the
patients were found to have ENT manifestations, of which oral candidiasis was
the most common (62.2%), followed by cervical lymphadenopathy (33.2%), TB·
adenitis (7.7%), facial nerve palsy (4.6%), Kaposi's sarcoma (4.1 %), herpes
simplex (3.1 %), vestibulitis (3.1 %) and otitis externa (2.6%). It has been shown in
this study that there is a correlation between complains of the patients and the
presence of disease (p value of .:5. 0.001). Females are affected at younger age
(mean=34 years) than males (mean=37 years).
Conclusions:
This study has shown that 71% of HIV infected patients present with
otolaryngology, head and neck lesions. Oral candidiasis was the most common
manifestation, followed by cervical lymphadenopathy, TB adenitis and facial
paralysis respectively. The study has also shown that ENT manifestations are
associated with patients' symptoms.
Citation
Degree of Master of Ear, Nose and Throat, Head and Neck Surgery of the University of NairobiPublisher
University of Nairobi Department of surgery
Description
A dissertation submitted in partial fulfillment for the award of the Degree of
Master of Ear, Nose and Throat, Head and Neck Surgery of the University of
Nairobi