Document Detail

Septic shock and death due to occult sinusitis.
MedLine Citation:
PMID:  2280159     Owner:  NLM     Status:  MEDLINE    
We report a case of septicaemia and death due to occult sinusitis in an otherwise healthy adult. Septicaemia was diagnosed on clinical grounds and blood culture grew Streptococcus pneumoniae. Maxillary sinusitis was discovered incidentally on a CT scan four days after the onset of symptoms. A sinus wash-out revealed pus which on culture was positive for Streptococcus pneumoniae. The patient deteriorated gradually and died despite appropriate therapy. We conclude that sinusitis should be suspected in any case of septicaemia where the primary focus is not known and the patient does not respond quickly to treatment.
M A Hariri; P A Vice
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of laryngology and otology     Volume:  104     ISSN:  0022-2151     ISO Abbreviation:  J Laryngol Otol     Publication Date:  1990 Dec 
Date Detail:
Created Date:  1991-03-08     Completed Date:  1991-03-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8706896     Medline TA:  J Laryngol Otol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  990     Citation Subset:  AIM; IM    
Centre for Audiology, Education of the Deaf & Speech Pathology, University of Manchester.
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MeSH Terms
Ampicillin / therapeutic use
Gentamicins / therapeutic use
Maxillary Sinusitis / complications*,  drug therapy
Pneumococcal Infections / complications*
Shock, Septic / etiology*,  mortality
Reg. No./Substance:
0/Gentamicins; 69-53-4/Ampicillin

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