Sinusitis Due to Pseudomonas aeruginosa in Patients with Human Immunodeficiency Virus Infection

Community-acquired sinusitis due to Pseudomonas aeruginosa developed in four patients with advanced human immunodeficiency virus (HIV) infection who had no local predisposing factors or neutropenia. Two persons were bacteremic. Combination antibiotic therapy and surgical drainage were necessary for...

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Bibliographic Details
Published in:Clinical infectious diseases 1993-03, Vol.16 (3), p.404-406
Main Authors: O'Donnell, James G., Sorbello, Alfred F., Condoluci, David V., Barnish, Michael J.
Format: Article
Language:English
Subjects:
Adult
AIDS
AIDS-Related Opportunistic Infections
AIDS/HIV
Anti-Bacterial Agents
Bacteremia
Biological and medical sciences
Blood
Catheters
Clinical Infectious Disease Articles
Drug Therapy, Combination - therapeutic use
Female
HIV
human immunodeficiency virus
Humans
Immunodeficiencies
Immunodeficiencies. Immunoglobulinopathies
Immunopathology
Infections
Male
Maxillary sinus
Medical sciences
Middle Aged
Pseudomonas aeruginosa
Pseudomonas aeruginosa - isolation & purification
Pseudomonas Infections - complications
Pseudomonas Infections - drug therapy
Pseudomonas Infections - microbiology
Sinuses
Sinusitis
Sinusitis - complications
Sinusitis - drug therapy
Sinusitis - microbiology
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Summary:Community-acquired sinusitis due to Pseudomonas aeruginosa developed in four patients with advanced human immunodeficiency virus (HIV) infection who had no local predisposing factors or neutropenia. Two persons were bacteremic. Combination antibiotic therapy and surgical drainage were necessary for adequate treatment. Ciprofloxacin-resistant strains were isolated possibly because of the chronic use of the drug as part of a treatment regimen for disseminated infection with Mycobacterium avium complex. Physicians treating patients with HIV infection must have an increased index of suspicion for P. aeruginosa as a causative agent of sinusitis.
ISSN:1058-4838
1537-6591
DOI:10.1093/clind/16.3.404