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dc.contributor.author | Tshifularo, Mashudu![]() |
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dc.contributor.author | Govender, L.![]() |
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dc.contributor.author | Monama, G.![]() |
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dc.date.accessioned | 2013-10-23T10:21:11Z | |
dc.date.available | 2013-10-23T10:21:11Z | |
dc.date.issued | 2013-07 | |
dc.description.abstract | BACKGROUND. Sub-Saharan Africa has the highest incidence of HIV infection. According to recent census statistics, 5.6 million people in South Africa (SA) are HIV-positive, the highest number of infected individuals worldwide. Over 80% of HIV-infected individuals will present with ear, nose and throat (ENT) manifestations. Previous studies show that oral diseases seem to be the most common ENT-related manifestation, reported in about 40 - 50% of HIV-infected patients. In SA, there is lack of local information regarding the otolaryngological and head and neck manifestations in HIV-infected individuals. OBJECTIVE. To ascertain our local trends of ENT and head and neck manifestations in HIV-infected patients seen at our specialised ENT-HIV Clinic, Steve Biko Academic Hospital, Pretoria, Gauteng Province, SA. METHODS. A 1-year prospective study involving 153 HIV-infected patients was conducted in the clinic from January to December 2011. Patient history was taken and examinations were performed based on the World Health Organization (WHO) HIV/AIDS classification system. Data analysis was performed using Epi Info 7 software. RESULTS. The most common manifestations were adenoid hypertrophy/hyperplasia followed by cervical lymphadenopathy, chronic suppurative otitis media, otitis media with effusion and sensory-neural hearing loss. CONCLUSION. Patients typically presented with early manifestations during symptomatic WHO stages I and II in contrast to results reported in similar developing world studies from Iran, Nigeria and India. A possible explanation may lie in the SA government HIV Counselling and Testing campaign and the antiretroviral rollout programme, the effectiveness of which is becoming evident. | en_US |
dc.description.librarian | am2013 | en_US |
dc.description.uri | http://www.samj.org.za | en_US |
dc.identifier.citation | Tshifularo, M, Govender, L & Monama, G 2013, 'Otolaryngological and head and neck manifestations in HIV-infected patients seen at Steve Biko Academic Hospital in Pretoria, South Africa', South African Medical Journal, vol. 103, no. 7, pp. 464-466. | en_US |
dc.identifier.issn | 0256-9574 (print) | |
dc.identifier.issn | 2078-5135 (online) | |
dc.identifier.other | 10.7196/SAMJ.6786 | |
dc.identifier.uri | http://hdl.handle.net/2263/32135 | |
dc.language.iso | en | en_US |
dc.publisher | Health and Medical Publishing Group | en_US |
dc.rights | Health and Medical Publishing Group | en_US |
dc.subject | Ear, nose and throat (ENT) manifestations | en_US |
dc.subject | Otolaryngological manifestations | en_US |
dc.subject | HIV infection | en_US |
dc.subject | Steve Biko Academic Hospital (SBAH) | en_US |
dc.title | Otolaryngological and head and neck manifestations in HIV-infected patients seen at Steve Biko Academic Hospital in Pretoria, South Africa | en_US |
dc.type | Article | en_US |