FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 304:749-754 March 26, 1981 Number 13 Next

	Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited PubMed Citation

Abstract

We sought to correlate the clinical, radiographic, and bacteriologic findings in maxillary sinusitis in 30 children who had both upper-respiratory-tract symptoms and abnormal maxillary radiographs. Cough, nasal discharge, and fetid breath were the most common signs, but fever was present inconsistently. Facial pain or swelling and headache were prominent symptoms in older children. Bacterial colony counts of greater than or equal to 10(4) colony-forming units per milliliter were found in 34 of 47 sinus aspirates obtained from 23 children. The most common species recovered were Streptococcus pneumoniae, Haemophilus influenzae, and Branhamella catarrhalis. No anaerobic bacteria were isolated. Viruses were isolated from only two sinus aspirates. There was a poor correlation between the predominant species of bacteria recovered from either the nasopharyngeal or throat culture and the bacteria isolated from the sinus aspirate. This study demonstrates that children with both upper-respiratory-tract symptoms and abnormal sinus radiographs are likely to harbor bacteria in their sinuses, suggesting that such children have bacterial sinusitis.

This article has been cited by other articles:

• Tan, T. T., Christensen, J. J., Dziegiel, M. H., Forsgren, A., Riesbeck, K. (2006). Comparison of the Serological Responses to Moraxella catarrhalis Immunoglobulin D-Binding Outer Membrane Protein and the Ubiquitous Surface Proteins A1 and A2. Infect. Immun. 74: 6377-6386 [Abstract] [Full Text]  
• Brook, I. (2005). Microbiology of Intracranial Abscesses and Their Associated Sinusitis. Arch Otolaryngol Head Neck Surg 131: 1017-1019 [Abstract] [Full Text]  
• Steele, R. W. (2005). Chronic Sinusitis in Children. CLIN PEDIATR 44: 465-471 [Abstract]  
• Schaffer, S. J., Szilagyi, P. G., Shone, L. P., Ambrose, S. J., Dunn, M. K., Barth, R. D., Edwards, K., Weinberg, G. A., Balter, S., Schwartz, B. (2002). Physician Perspectives Regarding Pneumococcal Conjugate Vaccine. Pediatrics 110: e68-68 [Abstract] [Full Text]  
• Kahn, J., Frohna, J. G., Wald, E. R. (2002). 'Sinusitis'?. Pediatrics 110: 192-193 [Full Text]  
• Baroody, F. M. (2001). Pediatric Sinusitis. Arch Otolaryngol Head Neck Surg 127: 1099-1101 [Full Text]  
• Subcommittee on Management of Sinusitis and Commit, (2001). Clinical Practice Guideline: Management of Sinusitis. Pediatrics 108: 798-808 [Abstract] [Full Text]  
• Nash, D. (2001). Point-Counterpoint: Sinusitis. Pediatr. Rev. 22: 291-292 [Full Text]  
• Garbutt, J. M., Goldstein, M., Gellman, E., Shannon, W., Littenberg, B. (2001). A Randomized, Placebo-Controlled Trial of Antimicrobial Treatment for Children With Clinically Diagnosed Acute Sinusitis. Pediatrics 107: 619-625 [Abstract] [Full Text]  
• Nash, D., Wald, E. (2001). Sinusitis. Pediatr. Rev. 22: 111-117 [Full Text]  
• Watson, R. L., Dowell, S. F., Jayaraman, M., Keyserling, H., Kolczak, M., Schwartz, B. (1999). Antimicrobial Use for Pediatric Upper Respiratory Infections: Reported Practice, Actual Practice, and Parent Beliefs. Pediatrics 104: 1251-1257 [Abstract] [Full Text]  
• Chen, D., Barniak, V., VanDerMeid, K. R., McMichael, J. C. (1999). The Levels and Bactericidal Capacity of Antibodies Directed against the UspA1 and UspA2 Outer Membrane Proteins of Moraxella (Branhamella) catarrhalis in Adults and Children. Infect. Immun. 67: 1310-1316 [Abstract] [Full Text]  
• Kyd, J. M., Cripps, A. W. (1998). Potential of a Novel Protein, OMP26, from Nontypeable Haemophilus influenzae To Enhance Pulmonary Clearance in a Rat Model. Infect. Immun. 66: 2272-2278 [Abstract] [Full Text]  
• Aitken, M., Taylor, J. A. (1998). Prevalence of Clinical Sinusitis in Young Children Followed Up by Primary Care Pediatricians. Arch Pediatr Adolesc Med 152: 244-248 [Abstract] [Full Text]  
• Clement, P. A. R., Bluestone, C. D., Gordts, F., Lusk, R. P., Otten, F. W. A., Goossens, H., Scadding, G. K., Takahashi, H., van Buchem, F. L., Van Cauwenberge, P., Wald, E. R. (1998). Management of Rhinosinusitis in Children: Consensus Meeting, Brussels, Belgium, September 13, 1996. Arch Otolaryngol Head Neck Surg 124: 31-34 [Abstract] [Full Text]  
• Brook, I. (1998). Microbiology of Nosocomial Sinusitis in Mechanically Ventilated Children. Arch Otolaryngol Head Neck Surg 124: 35-38 [Abstract] [Full Text]  
• O'Brien, K. L., Dowell, S. F., Schwartz, B., Marcy, S. M., Phillips, W. R., Gerber, M. A. (1998). Acute Sinusitis---Principles of Judicious Use of Antimicrobial Agents. Pediatrics 101: 174-177 [Abstract] [Full Text]  
• O'Brien, K. L., Dowell, S. F., Schwartz, B., Marcy, S. M., Phillips, W. R., Gerber, M. A. (1998). Cough Illness/Bronchitis---Principles of Judicious Use of Antimicrobial Agents. Pediatrics 101: 178-181 [Abstract] [Full Text]  
• Brook, I., Yocum, P., Frazier, E. H., Bartlett, J. G. (1996). Bacteriology and {beta}-Lactamase Activity in Acute and Chronic Maxillary Sinusitis. Arch Otolaryngol Head Neck Surg 122: 418-423 [Abstract]  
• Meyer, G. A., Shope, T. R., Waecker, N. J. JR, Lanningham, F. H. (1995). Moraxella (Branhamella) Catarrhalis Bacteremia in Children: A Report of Two Patients and Review of the Literature. CLIN PEDIATR 34: 146-150 [Abstract]  
• Fuller, C. G., Schoettler, J. J., Gilsanz, V., Nelson, M. D. JR, Church, J. A., Richards, W. (1994). Sinusitis in Status Asthmaticus. CLIN PEDIATR 33: 712-719 [Abstract]  
• Evans, K. L (1994). Fortnightly Review: Diagnosis and management of sinusitis. BMJ 309: 1415-1422 [Full Text]  
• Lazar, R. H., Younis, R. T. (1992). The Current Management of Sinusitis in Children. CLIN PEDIATR 31: 30-36 [Abstract]  
• Orobello, P. W. Jr, Park, R. I., Belcher, L. J., Eggleston, P., Lederman, H. M., Banks, J. R., Modlin, J. F., Naclerio, R. M. (1991). Microbiology of Chronic Sinusitis in Children. Arch Otolaryngol Head Neck Surg 117: 980-983 [Abstract]  
• Richards, W., Roth, R. M., Church, J. A. (1991). Underdiagnosis and Undertreatment of Chronic Sinusitis in Children. CLIN PEDIATR 30: 88-92 [Abstract]  
• Muntz, H. R., Lusk, R. P. (1991). Bacteriology of the Ethmoid Bullae in Children With Chronic Sinusitis. Arch Otolaryngol Head Neck Surg 117: 179-181 [Abstract]  
• Sydnor, A. Jr, Gwaltney, J. M. Jr, Cocchetto, D. M., Scheld, W. M. (1989). Comparative Evaluation of Cefuroxime Axetil and Cefaclor for Treatment of Acute Bacterial Maxillary Sinusitis. Arch Otolaryngol Head Neck Surg 115: 1430-1433 [Abstract]  
• Havas, T. E., Motbey, J. A., Gullane, P. J. (1988). Prevalence of Incidental Abnormalities on Computed Tomographic Scans of the Paranasal Sinuses. Arch Otolaryngol Head Neck Surg 114: 856-859 [Abstract]