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Infectious pseudomonas subglottic stenosis occurring in a patient with acquired immunodeficiency syndrome

Published online by Cambridge University Press:  29 June 2007

K. Ghufoor*
Affiliation:
Department of Otorhinolaryngology - Head and Neck Surgery, St Mary's Hospital, Praed Street, Paddington, London, UK.
J. Almeyda
Affiliation:
Department of Otorhinolaryngology - Head and Neck Surgery, St Mary's Hospital, Praed Street, Paddington, London, UK.
G. Mochloulis
Affiliation:
Department of Otorhinolaryngology - Head and Neck Surgery, St Mary's Hospital, Praed Street, Paddington, London, UK.
P. Q. Montgomery
Affiliation:
Department of Otorhinolaryngology - Head and Neck Surgery, St Mary's Hospital, Praed Street, Paddington, London, UK.
N. S. Tolley
Affiliation:
Department of Otorhinolaryngology - Head and Neck Surgery, St Mary's Hospital, Praed Street, Paddington, London, UK.
*
Address for correspondence: St Mary's Hospital, Praed Street, Paddington, London W2 1NY.

Abstract

Pseudomonas aeruginosa is emerging as an increasingly common opportunistic infective agent in the immunocompromised human immunodeficiency virus (HIV) positive patient (Kielhofner et al., 1992). Improvements in the prevention and treatment of opportunistic infections in HIV and acquired immunodeficiency syndrome (AIDS) has led to longer life expectancy (Graham et al., 1992), and this has changed the incidence of Pseudomonas aeruginosa infection in this population (Baron and Hollander, 1993). We present a case of a patient with AIDS who developed a fulminant Pseudomonas aeruginosa stenosing subglottic infection. We are unaware of any previous reports of this particular manifestation of Pseudomonas aeruginosa infection.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1997

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References

Ali, N. J., Kessel, D., Miller, R. F. (1995) Bronchopulmonary infection with Pseudomonas aeruginosa in patients infected with human immunodeficiency virus. Genitourinary Medicine 71: 7377.Google ScholarPubMed
Baron, A. D., Hollander, H. (1993) Pseudomonas aeruginosa broncho-pulmonary infection in late human immunodeficiency virus disease. American Review of Respiratory Diseases 148: 992996.CrossRefGoogle Scholar
Connolly, A. A. P., Rowe-Jones, J., Leighton, S. E. J., Ball, S. E., Davies, E. G., Moore-Gillon, V. (1992) Pseudomonal supraglottitis occurring in a patient with profound neutropenia secondary to virus-associated haemophagocytic syndrome. Journal of Laryngology and Otology 106: 739740.CrossRefGoogle Scholar
Doyle, R. L., Doherty, J. J., Zimmerman, L. H. (1995) Recovery of Pseudomonas aeruginosa in respiratory specimens from HIV positive patients being evaluated for Pneumocystis carinii pneumonia. Thorax 50: 548550.CrossRefGoogle ScholarPubMed
Graham, N., Zeger, S. L., Vermund, S. H., Detels, R., Rinaldo, C. R., Phair, J. (1992) The effects of early treatment of HIV infection. New England Journal of Medicine 326: 10371042.CrossRefGoogle Scholar
Kielhofner, M., Atmar, R. L., Hamill, R. J., Musher, D. M. (1992) Life threatening Pseudomonas aeruginosa infections in patients with human immunodeficiency virus infection. Clinical Infectious Diseases 14: 403411.CrossRefGoogle ScholarPubMed
Lacroix, J., Gauthier, M., Lapointe, N., Ahronheim, G., Arcand, P., Girouard, G. (1988) Pseudomonas aeruginosa supraglottitis in a six-month-old with severe combined immunodeficiency syndrome. Paediatric Infectious Diseases Journal 7: 739741.Google Scholar
de Latorre, F. J., Pont, T., Ferrer, A., Rossello, J., Palomar, M., Planas, M. (1995) Pattern of tracheal colonization during mechanical ventilation. American Journal of Respiratory and Critical Care Medicine 152: 10281033.CrossRefGoogle ScholarPubMed
Mendelson, H. M., Gurtman, A., Szabo, S., Neibart, E., Meyers, B. R., Poloicar, M., Cheung, T. W., Lillenfield, D., Hammer, G., Reddy, S., Choi, K., Hirscham, S. Z. (1994) Pseudomonas aeruginosa bacteremia in patients with AIDS. Clinical Infectious Disease 18: 886895.CrossRefGoogle ScholarPubMed
Miller, R. F., Pugsley, W. B., Griffiths, M. H. (1995) Open lung biopsy for investigation of acute respiratory episodes in patients with HIV infection and AIDS. Genitourinary Medicine 71: 280285.Google ScholarPubMed
Morrison, A. J., Wenzel, R. P. (1984) Epidemiology of infections due to Pseudomonas aeruginosa. Reviews of Infectious Diseases 6(3): 627642.CrossRefGoogle ScholarPubMed
Schuster, M. G., Norris, A. H. (1994) Community acquired Pseudomonas aeruginosa pneumonia in patients with HIV infection. AIDS 8: 14371441.CrossRefGoogle ScholarPubMed
Shepp, D. H., Tang, I. A. L., Ramundo, M. R., Kaplan, M. H. (1994) Serious Pseudomonas aeruginosa infection in AIDS. Journal of Acquired Immune Deficiency Syndromes 7: 823831.Google ScholarPubMed
Taylor, I. K., Coker, R. J., Clarke, J., Moss, F. M., Nieman, R., Evans, D. J., Veale, D., Shaw, R. J., Robinson, D. S., Mitchell, D. M. (1995) Pulmonary complications of HIV disease: 10 year retrospective evaluation of yields from bronchoalveolar lavage, 1983–1993. Thorax 50: 12401245.CrossRefGoogle Scholar