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Previous Volume 351:902-910 August 26, 2004 Number 9 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A 43-year-old man has a two-week history of nasal congestion, postnasal drip, and fatigue. He has used an over-the-counter nasal decongestant and acetaminophen, without relief. During the past few days, facial pain and pressure have developed and have not responded to decongestants. In addition, his nasal discharge has turned from clear to yellow. How should he be treated?

The Clinical Problem

Acute bacterial sinusitis is . . . [Full Text of this Article]

Strategies and Evidence

Diagnosis

Therapy

            Symptomatic Therapy

            Uncomplicated Sinusitis

            Complicated or Severe Sinusitis

            Patients with Allergic Rhinitis

Areas of Uncertainty

Guidelines

Conclusions and Recommendations

Source Information

From the Clinical Outcomes Research Office, Departments of Otolaryngology–Head and Neck Surgery and Internal Medicine, Washington University School of Medicine, St. Louis.

Address reprint requests to Dr. Piccirillo at the Department of Otolaryngology–Head and Neck Surgery, Washington University School of Medicine, Box 8115, 660 S. Euclid Ave., St. Louis, MO 63110, or at piccirij@msnotes.wustl.edu.

Related Letters:

Sinusitis
Musher D., Gross R. M., Anon J. B., Poole M. D., Jacobs M. R., Piccirillo J. F.
Extract | Full Text | PDF  
N Engl J Med 2005; 352:203-204, Jan 13, 2005. Correspondence

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• Butterton, J. R., Collier, D. S., Romero, J. M., Zembowicz, A. (2007). Case 14-2007 -- A 59-Year-Old Man with Fever and Pain and Swelling of Both Eyes and the Right Ear. NEJM 356: 1980-1988 [Full Text]  
• Musher, D., Gross, R. M., Anon, J. B., Poole, M. D., Jacobs, M. R., Piccirillo, J. F. (2005). Sinusitis. NEJM 352: 203-204 [Full Text]