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