19/11/2024
Acute Sinusitis
• Sx: nasal congestion, pain or pressure over sinuses, ear pain or pressure, headache, fever
• PE: purulent rhinorrhea
• Most commonly caused by viral URI
• If viral, tx: supportive care
• Bacterial sinusitis: purulent nasal secretions and severe symptoms for ≥ 10 days
• Amoxicillin or Amoxicillin-clavulanate
• Complications: frontal bone osteomyelitis (Pott puffy tumor), orbital cellulitis, sinus venous thrombosis, extension into meninges/brain