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Acute Viral Rhinosinusitis

 Syn. AVRS

Signs & Symptoms

 Nasotracheal intubation in intensive care units
Ref: Harrison [ 209]
Nasogastric tubes in intensive care units
Ref: Harrison [ 209]
Pain localized to sinuses when bending forward
Ref: Uptodate [ Acute sinusitis and rhinosinusitis in adults: Clinical manifestations and diagnosis] Cecil [ 867]
Epistaxis
Note: In acute fungal rhinosinusitis (such as mucormycosis )
Ref: Harrison [ 210]

Physical Examination

 Abnormal transillumination
Ref: Uptodate [ Acute sinusitis and rhinosinusitis in adults: Clinical manifestations and diagnosis] Cecil [ 867]
Soft-tissue swelling
Note: due to Communicating subperiosteal abscess, In advanced frontal sinusitis
Ref: Harrison [ 210]
Purulent drainage in the posterior pharynx
Ref: Uptodate [ Acute sinusitis and rhinosinusitis in adults: Clinical manifestations and diagnosis] Harrison [ 210] Cecil [ 867]

Lab / Serology

 Evidence of fungal hyphal elements
Note: In acute fungal rhinosinusitis (such as mucormycosis )
Ref: Harrison [ 210]
Evidence of tissue invasion
Note: In acute fungal rhinosinusitis (such as mucormycosis )
Ref: Harrison [ 210]

Imagin Study

 Air bubbles within the sinuses
Ref: Uptodate [ Acute sinusitis and rhinosinusitis in adults: Clinical manifestations and diagnosis]
Diffuse mucosal edema
Note: Anterior rhinoscopy
Ref: Uptodate [ Acute sinusitis and rhinosinusitis in adults: Clinical manifestations and diagnosis] Harrison [ 209] Cecil [ 867]
Mucosal edema
Ref: Uptodate [ Acute sinusitis and rhinosinusitis in adults: Clinical manifestations and diagnosis]

Complication

 Ptosis
Note: In acute fungal rhinosinusitis (such as mucormycosis )
Ref: Harrison [ 210]

Risk Factors

 Smoking
Ref: Uptodate [ Acute sinusitis and rhinosinusitis in adults: Clinical manifestations and diagnosis]
Age between 45 and 64
Ref: Uptodate [ Acute sinusitis and rhinosinusitis in adults: Clinical manifestations and diagnosis]
Female
Ref: Uptodate [ Acute sinusitis and rhinosinusitis in adults: Clinical manifestations and diagnosis]

Cause

 Viral infection
Note: Associated with the common cold
Ref: Uptodate [ Acute sinusitis and rhinosinusitis in adults: Clinical manifestations and diagnosis] Harrison [ 209]
Rhizomucor
Note: Most acute cases affect immunocompromised patients
Ref: Harrison [ 209]
Rhizopus
Note: Most acute cases affect immunocompromised patients
Ref: Harrison [ 209]

Other