What are the systemic complications of acute sinusitis?

Updated: Apr 22, 2020
  • Author: Ted L Tewfik, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

Sinusitis can result in sepsis and multisystem organ failure caused by seeding of the blood and various organ systems. Reports of bacteremia, thoracic empyema, and nosocomial pneumonia have been documented in the intensive-care population with acute sinusitis, and the mortality rate in this group can be as high as 11%. Fukushima et al (2012) reported on a case of a 39-year-old man admitted for the onset of acute purulent meningitis. [25] A cerebrospinal fluid culture grew Streptococcus sanguis. Sinusitis was found to be the cause of the meningitis. Treatment with intravenous antibiotics was successful.


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