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Acute Bacterial Rhinosinusitis

 Syn. ABRS

Signs & Symptoms

 Nasogastric tubes in intensive care units
Ref: Harrison [ 209]
Nasotracheal intubation in intensive care units
Ref: Harrison [ 209]
Air travel
Ref: Uptodate [ Acute sinusitis and rhinosinusitis in adults: Clinical manifestations and diagnosis] Harrison [ 209]
Worsening symptoms after an initial period of improvement
Ref: Uptodate [ Acute sinusitis and rhinosinusitis in adults: Clinical manifestations and diagnosis]

Physical Examination

 Tenderness with percussion of the upper teeth
Ref: Uptodate [ Acute sinusitis and rhinosinusitis in adults: Clinical manifestations and diagnosis] Harrison [ 210] Cecil [ 867]
Purulent drainage in the posterior pharynx
Ref: Uptodate [ Acute sinusitis and rhinosinusitis in adults: Clinical manifestations and diagnosis] Harrison [ 210] Cecil [ 867]
Cheek tenderness
Ref: Uptodate [ Acute sinusitis and rhinosinusitis in adults: Clinical manifestations and diagnosis] Harrison [ 210]

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

 Meningeal signs
Ref: Uptodate [ Acute sinusitis and rhinosinusitis in adults: Clinical manifestations and diagnosis]
Sign of increased intracranial pressure
Ref: Uptodate [ Acute sinusitis and rhinosinusitis in adults: Clinical manifestations and diagnosis]
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

 Rhizomucor
Note: Most acute cases affect immunocompromised patients
Ref: Harrison [ 209]
Mucor
Note: Most acute cases affect immunocompromised patients
Ref: Harrison [ 209]
Fungal infection
Note: Most acute cases affect immunocompromised patients
Ref: Harrison [ 209]

Other