What are the head, eyes, ears, nose, and throat (HEENT) findings in pediatric HIV infection?

Updated: Mar 05, 2020
  • Author: Delia M Rivera, MD; Chief Editor: Russell W Steele, MD  more...
  • Print
Answer

Parotid enlargement is observed in 30% of children with category C disease (see Staging) and in 15% of children with disease in other categories.

Tonsillar hypertrophy may be observed. Aphthous ulcers may be observed.

Thrush in the oral cavity and posterior pharynx is observed in approximately 30% of HIV-infected children. In children with AIDS, the prevalence of thrush is correlated with a low CD4+ count. Thrush in the posterior pharynx may signify candidal esophagitis, especially in patients with feeding difficulties or retrosternal pain.

CMV retinitis occurs in 3.4% of children with CD4+ counts of less than 50/mL.


Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!