Document Detail

Differential diagnosis of purulent and non-purulent acute maxillary sinusitis in young adults.
MedLine Citation:
PMID:  2787046     Owner:  NLM     Status:  MEDLINE    
In acute maxillary sinusitis, purulence could best be assessed from sinus washings, but evaluation based on aspirates was also reliable, provided that the amount of secretion was adequate. Injection-aspirates were of negligible diagnostic value in this respect. Sinus washings and aspirates which were clinically defined as purulent were almost invariably indicative of bacterial infection. The bacterial etiology was most accurately obtained by sinus aspiration. Only 14.5% of cultured specimens were negative for pathogenic bacteria. In maxillary sinusitis, judged to be non-purulent, 52.5% of cultures grew a pathogen. The most common pathogen was Haemophilus influenzae, which accounted for 90% of these isolations. There was a clear correlation between occurrence of many PMNs and pathogen positive culture in non-purulent cases. Thus, antimicrobial therapy which is effective against Haemophilus influenzae seems indicated in most cases of non-purulent maxillary sinusitis.
S Savolainen; J Ylikoski; H Jousimies-Somer
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Rhinology     Volume:  27     ISSN:  0300-0729     ISO Abbreviation:  Rhinology     Publication Date:  1989 Mar 
Date Detail:
Created Date:  1989-08-08     Completed Date:  1989-08-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0347242     Medline TA:  Rhinology     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  53-61     Citation Subset:  IM    
Dept. of O.R.L., Central Military Hospital, Helsinki, Finland.
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MeSH Terms
Acute Disease
Diagnosis, Differential
Haemophilus Infections / diagnosis*,  pathology
Haemophilus influenzae
Maxillary Sinus
Sinusitis / diagnosis*,  pathology

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