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Sinusitis

Sinusitis is a topic covered in the Guide to Diagnostic Tests.

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Organism

Sinusitis

Acute: S. pneumoniae (GPDC) (20–43%), H. influenzae (GNCB) (21–35%), M. catarrhalis (GNDC) (2–10%), other streptococci (3–9%) (GPC), anaerobes (1–9%), viruses (4%) (adenovirus, influenza, parainfluenza), S. aureus (GPC) (1–8%).

Chronic (child): Viridans and anaerobic streptococci (GPC in chains) (23%), S. aureus (19%), S. pneumoniae, H. influenzae, M. catarrhalis, P. aeruginosa (GNR) in cystic fibrosis.

Chronic (adult): Coagulase-negative staphylococci (GPC) (36%), S. aureus (GPC) (25%), viridans streptococci (GPC in chains) (8%), corynebacteria (GPR) (5%), anaerobes (6%), including Bacteroides sp., Prevotella sp. (GNR), peptostreptococcus (GPC), Fusobacterium sp. (GNR).

Hospitalized with nasogastric tube or nasotracheal intubation: Enterobacteriaceae (GNR), Pseudomonas sp. (GNR).

Fungal: Zygomycetes (rhizopus), aspergillus, P. boydii , other dematiaceous mold.

Immunocompromised: P. aeruginosa (GNR), CMV, Aspergillus sp. and other filamentous fungi plus microsporidia, Cryptosporidium parvum, Acanthamoeba in HIV-infected patients.

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Citation

McPhee, Stephen J., et al. "Sinusitis." Guide to Diagnostic Tests, 7th ed., McGraw-Hill Education, 2017. Emergency Central, emergency.unboundmedicine.com/emergency/view/GDT/619373/all/Sinusitis.
McPhee SJ, Lu CM, Nicoll D. Sinusitis. Guide to Diagnostic Tests. 7th ed. McGraw-Hill Education; 2017. https://emergency.unboundmedicine.com/emergency/view/GDT/619373/all/Sinusitis. Accessed April 18, 2019.
McPhee, S. J., Lu, C. M., & Nicoll, D. (2017). Sinusitis. In Guide to Diagnostic Tests. Available from https://emergency.unboundmedicine.com/emergency/view/GDT/619373/all/Sinusitis
McPhee SJ, Lu CM, Nicoll D. Sinusitis [Internet]. In: Guide to Diagnostic Tests. McGraw-Hill Education; 2017. [cited 2019 April 18]. Available from: https://emergency.unboundmedicine.com/emergency/view/GDT/619373/all/Sinusitis.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Sinusitis ID - 619373 A1 - McPhee,Stephen J, AU - Lu,Chuanyi Mark, AU - Nicoll,Diana, BT - Guide to Diagnostic Tests UR - https://emergency.unboundmedicine.com/emergency/view/GDT/619373/all/Sinusitis PB - McGraw-Hill Education ET - 7 DB - Emergency Central DP - Unbound Medicine ER -