Sinusitis of the Maxillary Antrum

作者: Frank O. Evans , J. Brantley Sydnor , W. E. C. Moore , George R. Moore , J. Laurence Manwaring

DOI: 10.1056/NEJM197510092931502

关键词: RhinovirusPathologyVirusMedicineStreptococcus pneumoniaeHaemophilus influenzaeSinusitisAntibioticsSinus (anatomy)Anaerobic bacteria

摘要: Abstract Twenty-four adults with clinical evidence of sinusitis were studied by 65 needle punctures the maxillary antrum. Fourteen 15 sinuses normal transillumination and 19 26 that dull had aspirates, whereas 24 opaque abnormal aspirates (P 1000 per cubic millimeter) infection as manifested bacterial titers > 105 milliliter or isolation a virus fungus < 0.001). Anterior-nasal-swab cultures correlated poorly direct aspirate cultures. Organisms frequently recovered from sinus included Haemophilus influenzae, Streptococcus pneumoniae, anaerobic bacteria. Rhinovirus was twice. Antibiotics useful in patients acute if organism ...

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