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An unusual presentation of sphenoid sinusitis with septicaemia in a healthy young adult
  1. D Rimal,
  2. S M Hashmi,
  3. P R Prinsley
  1. James Paget Healthcare NHS Trust, Great Yarmouth, Norfolk, UK
  1. Correspondence to:
 D Rimal
 James Paget Healthcare NHS Trust, Lowestoft Road, Gorleston, Great Yarmouth, Norfolk, NR31 6LA, UK; kathmanducity{at}


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.

  • headache
  • Haemophilus septicaemia
  • sphenoid sinusitis

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  • Competing interests: none declared