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Emergency Medicine Journal 2006;23:e36; doi:10.1136/emj.2005.033340
© 2006 BMJ Publishing Group Ltd and the College of Emergency Medicine.

EMERGENCY CASEBOOK

An unusual presentation of sphenoid sinusitis with septicaemia in a healthy young adult

D Rimal, S M Hashmi, P R Prinsley

James Paget Healthcare NHS Trust, Great Yarmouth, Norfolk, UK

Correspondence to:
Correspondence to:
D Rimal
James Paget Healthcare NHS Trust, Lowestoft Road, Gorleston, Great Yarmouth, Norfolk, NR31 6LA, UK; kathmanducity{at}aol.com

ABSTRACT

Streptococcus pneumonia and Haemophilus influenzae account for more than 50% of bacterial acute sinusitis. Isolated sphenoid sinusitis is a rare disease with potentially devastating complications such as cranial nerve involvement, brain abscess, and meningitis. It occurs at an incidence of about 2.7% of all sinus infections. There have been no previous reported cases of unilateral sphenoid sinusitis presenting as septicaemia in an otherwise healthy young immunocompetent adult.

Keywords: headache; Haemophilus septicaemia; sphenoid sinusitis


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This article has been cited by other articles:

  • (2006). Emergency casebook. Emerg. Med. J. 23: 485-486 [Full Text]  

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