Case 3

A 5 year old white female presents with a history of nasal discharge for 12 days which is not improving, low grade fever of 101⁰F, and persistent cough. The examination is unremarkable except for rhinorrhea. Sinus films are ordered and show bilateral maxillary and ethmoid sinus opacification.

Questions

2. How are these organisms acquired by the host?   Answer

3. What is known about the pathogenesis of the infection? Describe the anatomy of the sinuses. Sinusitis in which sinus most often spreads to the orbit? Why is maxillary sinusitis so common?   Answer

4. How could the physician determine which bacterial agent is present in the sinus?   Answer

5. What antimicrobial agents are effective for the treatment of acute sinusitis? Is there a drug of choice?   Answer

6. What are the complications and long-term consequences of the infection?  Answer