sinusitis
sinusitis
see also:
introduction
- infection of the sinuses is common and often becomes chronic
- most commonly bilateral sinusitis is a complication of upper respiratory tract infections
- chronic unilateral maxillary sinusitis is very suggesting of an odontogenic sinusitis
- incidental bilateral sinusitis on CT brains down for other reasons is generally incidental and should not automatically be assumed to be the cause of the patient's symptoms
Mx of acute sinusitis
- broad spectrum antibiotics such as Augmentin Due Forte (adults)
- if odontogenic sinusitis will also need dental assessment and Mx
- PLUS a short course of oral corticosteroids such as prednisolone 25-50mg/day in adults 1)
- consider home sinus self-irrigation with saline
- avoid tap water without it being sterilised if possible as there is a very small risk of lethal ameobic meningitis due to Naegleria fowleri
- ~20% of patients having CT brain for headache or mild CHI will have a CT report of “chronic sinusitis” - this finding without acute URTI should probably NOT warrant Rx and is probably NOT the cause of an acute headache 2)
sinusitis.txt · Last modified: 2024/11/12 05:00 by gary1