title: InvasiveAspergillusSinusitis in Human Immunodeficiency Virus Infection: Case Report and Review of the Literature.
abstract: InvasiveAspergillus(IA) sinusitis is a life-threatening opportunistic infection in immunocompromised individuals, but it is uncommon in human immunodeficiency virus (HIV) infection. To gain a better understanding of the characteristics of IA sinusitis in this population, we present a unique case of chronic IA sinusitis in an HIV-infected patient taking antiretroviral therapy and review the literature summarizing published cases of invasive aspergillosis of the paranasal (n = 41) and mastoid (n = 17) sinuses in HIV-infected individuals. Among these cases, only 4 were reported after 1999, and 98% of patients had acquired immune deficiency syndrome. Orbital invasion occurred in 54% of paranasal sinus cases, whereas intracranial invasion was reported in 53% of mastoid sinus cases. The overall mortality was 79%. We also discuss various clinical and immunologic factors that may play a role in the development of IA and consider the changing epidemiology of aspergillosis in the era of effective antiretroviral therapy.
authors: Division of Infectious Diseases , Weill Cornell Medicine , New York, New York.
authors: John M
authors: JM
authors: Humphrey
authors: Division of Infectious Diseases , Weill Cornell Medicine , New York, New York.
authors: Thomas J
authors: TJ
authors: Walsh
authors: Division of Infectious Diseases , Weill Cornell Medicine , New York, New York.
authors: Roy M
authors: RM
authors: Gulick
keywords: AIDS; Aspergillus; HIV; invasive fungal sinusitis; opportunistic infection