Microbiology of Acute and Chronic Sinusitis in Children and Adults

  • Ellen R. Wald

Abstract

The microbiology of paranasal sinus infections can be anticipated according to the age of the patient, clinical presentation, and immunocompetency of the host. In acute sinus disease, viral upper respiratory infections frequently precede bacterial superinfection by Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis. Staphylococci and respiratory anaerobes are common in chronic sinus infection, which may also be caused by exacerbations of infection with the bacterial species that cause acute disease. Enterobacteriacae may be found in patients with nosocomial sinusitis; predisposing causes are prolonged nasogastric and nasotracheal intubation. Finally, fungi may cause chronic disease in immunocompetent hosts or acute infection in immunocompromised patients.

Keywords

Paranasal Sinus Maxillary Sinus Chronic Sinusitis Acute Sinusitis Nasotracheal Intubation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Evans RD Jr, Sydnor JB, Moore WEC, et al. Sinusitis of the maxillary antrum. N Engl J Med 1975;293: 735–739.PubMedCrossRefGoogle Scholar
  2. 2.
    Wald ER, Milmoe GJ, Bowen AD, Ledesma-Medina J, Salmon N, Bluestone CD. Acute maxillary sinusitis in children. N Engl J Med 1981;304:749–754.PubMedCrossRefGoogle Scholar
  3. 3.
    Wald ER, Reilly JS, Casselbrant M, et al. Treatment of acute maxillary sinusitis in childhood: A comparative study of amoxicillin and cefaclor. J Pediatr 1984; 104: 297–302.PubMedCrossRefGoogle Scholar
  4. 4.
    Rodriguez RS, De La Torre C, Sanchez C, et al. Bacteriology and treatment of acute maxillary sinusitis in children: A comparative study of erythromycin-sulfisoxazole and amoxicillin. Abstracts of the Interscience Conference of Antimicrobial Agents and Chemotherapy (328) Los Angeles, CA, 1988.Google Scholar
  5. 5.
    Wald ER, Byers C, Guerra N, Casselbrant M, Beste D. Subacute sinusitis in children. J Pediatr 1989; 115:28–32.PubMedCrossRefGoogle Scholar
  6. 6.
    Brook I. Bacteriologic features of chronic sinusitis in children. JAMA 1981;246:967–969.PubMedCrossRefGoogle Scholar
  7. 7.
    Muntz HR, Lusk RP. Bacteriology of the ethmoid bullae in children with chronic sinusitis. Arch Otolaryngol Head Neck Surg 1991;117:179–181.PubMedCrossRefGoogle Scholar
  8. 8.
    Tinkleman DG, Silk HJ. Clinical and bacteriologic features of chronic sinusitis in children. Am J Dis Child 1989;143:938–941.Google Scholar
  9. 9.
    Shapiro ED, Milmoe GJ, Wald ER, Rodnan JB, Bowen AD. Bacteriology of the maxillary sinuses in patients with cystic fibrosis. J Infect Dis 1982; 146:589–593.PubMedCrossRefGoogle Scholar
  10. 10.
    Friedman R, Ackerman W, Wald E, Casselbrant M, Friday G, Fireman P. Asthma and bacterial sinusitis in children. J Allergy Clin Immunol 1984;74:185–189.PubMedCrossRefGoogle Scholar
  11. 11.
    Goldenhersh MJ, Rachelefsky GS, Dudley J, et al. The bacteriology of chronic maxillary sinusitis in children with respiratory allergy. J Allergy Clin Immunol 1990;85: 1030–1039.PubMedCrossRefGoogle Scholar
  12. 12.
    Gwaltney JM Jr, Scheid WM, Sande MA, Sydnor A. The microbial etiology and antimicrobial therapy of adults with acute community acquired sinusitis: A fifteen year experience at the University of Virginia and review of other selected studies. J Allergy Clin Immunol 1992;90S: 457–461.Google Scholar
  13. 13.
    Wald ER, Chiponis D, Ledesma-Medina J. Comparative effectiveness of amoxicillin and amoxicillin-clavulanate potassium in acute paranasal sinus infection in children: a double blind, placebo-controlled trial. Pediatrics 1986;77:795–800.PubMedGoogle Scholar
  14. 14.
    Chonmaitree T, Owen MJ, Patel JA, Hedgpeth D, Horlick D, Howie VM. Effect of viral respiratory tract infection on outcome of acute otitis media. J Pediatr 1992; 120: 856–862.PubMedCrossRefGoogle Scholar
  15. 15.
    Bach A, Boehrer H, Schmidt H, Geiss HK. Nosocomial sinusitis in ventilated patients. Nasotracheal versus oratracheal intubation. Anaesthesia 1992;47: 335–339.PubMedCrossRefGoogle Scholar
  16. 16.
    O’Reilly MJ, Reddick EJ, Black W, et al. Sepsis from sinusitis in nasotracheally intubated patients: A diagnostic dilemma. Am J Surg 1984; 147:601–604.PubMedCrossRefGoogle Scholar
  17. 17.
    Arens JF, Le Jeune FE Jr, Webre DR. Maxillary sinusitis, a complication of nasotracheal intubation. Anesthesiology 1974;40:415,416.PubMedCrossRefGoogle Scholar
  18. 18.
    Caplan ES, Hoyt NJ. Nosocomial sinusitis. JAMA 1982;247:639–641.PubMedCrossRefGoogle Scholar
  19. 19.
    Kronberg FG, Goodwin WJ. Sinusitis in intensive care unit patients. Laryngoscope 1985;95:936–938.PubMedCrossRefGoogle Scholar
  20. 20.
    Miner JD, Elliott CL, Johnson CW, et al. Nosocomial sinusitis. Indiana Med 1988;81:684–686.PubMedGoogle Scholar
  21. 21.
    Frederick J, Braude AI. Anaerobic infection of the paranasal sinuses. N Engl J Med 1974;290:135–137.PubMedCrossRefGoogle Scholar
  22. 22.
    Karma P, Jokipii L, Sipila P, Luotonen J, Jokipii AMM. Bacteria in chronic maxillary sinusitis. Arch Otolaryngol 1979;105:386–390.PubMedCrossRefGoogle Scholar
  23. 23.
    Morgan MA, Wilson WR, Neil HB III, Roberts GD. Fungal sinusitis in healthy and immunocompromised individuals. Am J Clin Pathol 1984;82:597–601.PubMedGoogle Scholar
  24. 24.
    Washburn RG, Kennedy DW, Gegley MG, Henderson DK, Bennett JE. Chronic fungal sinusitis in apparently normal hosts. Medicine 1988;67:231–247.PubMedCrossRefGoogle Scholar
  25. 25.
    Lawson W, Blitzer A. Fungal infections of the nose and paranasal sinuses. Part I. Otolaryngol Clin North Am 1993;26:1007–1035.PubMedGoogle Scholar
  26. 26.
    Lawson W, Blitzer A. Fungal infections of the nose and paranasal sinuses. Part II.Otolaryngol Clin North Am 1993;26:1037–1068.PubMedGoogle Scholar
  27. 27.
    Jahrsdoerfer RA, Ejercito VS, Johns MME, et al. Aspergillosis of the nose and paranasal sinuses. Am J Otolaryngol 1979; 1:6–14.PubMedCrossRefGoogle Scholar
  28. 28.
    Agger WA, Caplan RH, Maki DG. Ocular sporotrichosis mimicking mucormycosis in a diabetic. Ann Ophthalmol 1978;10:767–771.PubMedGoogle Scholar
  29. 29.
    Kern ME, Uecker FA. Maxillary sinus infection caused by the Homobasidiomycetous fungus Schizophylumm commune. J Clin Microbiol 1986; 123:1001–1005.Google Scholar
  30. 30.
    Mitchell RG, Chaplin AJ, MacKenzie DWR. Emericella nidulans in a maxillary sinus fungal mass. J Med Vet Myc 1987;25:339–341.CrossRefGoogle Scholar
  31. 31.
    Bloom SM, Warner RRP, Weitzman I. Maxillary sinusitis: Isolation of Scedosporium (Monosporium) apiospermum, anamorph of Petriellidium (Allescheria) boydii. Mt Sinai J Med 1982;49:492–494.PubMedGoogle Scholar
  32. 32.
    Watters GW, Milford CA. Isolated sphenoid sinusitis due to Pseudoallescheria boydii. J Laryngology Otol 1993; 107:344–346.CrossRefGoogle Scholar
  33. 33.
    Stamm MA, Frable MA. Invasive sinusitis due to Pseudoallescheria boydii in an immunocompetent host. South Med J 1992;85:439–440.PubMedCrossRefGoogle Scholar
  34. 34.
    Travis LB, Roberts GD, Wilson WR. Clinical significance of Pseudoallescheria boydii: A review of 10 years’ experience. Mayo Clin Proc 1985;60:531–537.PubMedCrossRefGoogle Scholar
  35. 35.
    Winn RE, Ramsey PD, McDonald JC, Dunlop KJ. Maxillary sinusitis from Pseudoallescheria boydii. Efficacy of surgical therapy. Arch Otolaryngol 1983; 109:123–125.PubMedCrossRefGoogle Scholar
  36. 36.
    Rockhill RC, Klein MD. Paecilomyces lilacinus as the cause of chronic maxillary sinusitis. J Clin Microbiol 1980; 11:737–739.PubMedGoogle Scholar
  37. 37.
    Iwamoto H, Katsura M, Fujimaki T. Mycosis of the maxillary sinuses. Laryngoscope 1972;92:903–909.CrossRefGoogle Scholar
  38. 38.
    Henderson LT, Robbins T, Weitzner S, et al. Benign Mucor colonization (fungus ball) associated with chronic sinusitis. South Med J 1988;81:846–850.PubMedCrossRefGoogle Scholar
  39. 39.
    Dworzack DL, Pollack AS, Hodges GR, et al. Zygomycosis of the maxillary sinus and palate caused by Basidiobolus haptosporus. Arch Intern Med 1978; 138: 1274–1276.PubMedCrossRefGoogle Scholar
  40. 40.
    Bassiouny A, Maher A, Bucci TJ, et al. Noninvasive antromycosis (diagnosis and treatment). J Laryngol Otol 1982;96:215–228.PubMedCrossRefGoogle Scholar
  41. 41.
    Wickern GM. Fusarium allergic fungal sinusitis. J Allergy Clin Immunol 1993;92:624,625.PubMedCrossRefGoogle Scholar
  42. 42.
    Kurien M, Anandi V, Raman R, Brahmadathan KN. Maxillary sinus fusariosis in immunocompetent hosts. J Laryngol Otol 1992; 102:733–736.CrossRefGoogle Scholar
  43. 43.
    Adam RD, Paquin ML, Petersen EA, et al. Phaeohyphomycosis caused by the fungal genera Bipolaris and Exserohilum. Medicine 1986;65:203–217.PubMedCrossRefGoogle Scholar
  44. 44.
    Young CN, Swart JG, Ackermann D, Davidge-Pitts K. Nasal obstruction and bone erosion caused by Dreschslera hawaiiensis. J Laryngol Otol 1978;92:137–143.PubMedCrossRefGoogle Scholar
  45. 45.
    Sobol SM, Love RG, Stutman HR, Pysher TJ. Phaeohyphomycosis of the maxilloethmoid sinus caused by Drechslera spicifera: A new fungal pathogen. Laryngoscope 1984;95:620–627.Google Scholar
  46. 46.
    Azar P, Acquavella JV, Smith RS. Keratomycosis due to an Alternaria species. Am J Ophthalmol 1975;79: 881, 882.PubMedGoogle Scholar
  47. 47.
    Shugar MA, Montgomery WW, Hyslop NE Jr. Alternaria sinusitis. Ann Otol 1981;90:251–254.Google Scholar
  48. 48.
    Zieske LA, Kopke RD, Hamill R. Dematiaceons fungal sinusitis. Otolaryngol Head Neck Surg 1991; 105: 567–577.PubMedGoogle Scholar
  49. 49.
    O’Donnell JG, Sorbello AF, Condoluci DV, Burnish MJ. Sinusitis due to Pseudomonas aeruginosa in patients with human immunodeficiency virus infection. Clin Infect Dis 1993; 16:404–406.PubMedCrossRefGoogle Scholar
  50. 50.
    Berlinger NT. Sinusitis in immunodeficient and immunosuppressed patients. Laryngoscope 1985;95:29–33.PubMedCrossRefGoogle Scholar
  51. 51.
    Eron LJ, Huckins C, Park CH, et al. Mycobacterium chelonei infects the maxillary sinus: A rare case. Virginia Med 1981;108:335–338.Google Scholar
  52. 52.
    Kavanaugh KT, Parham DM, Hughes WT, Chanin LR. Fungal sinusitis in immunocompromised children with neoplasms. Ann Otol Rhinol Laryngol 1991; 100: 331–336.Google Scholar
  53. 53.
    McGill TJ, Simpson G, Healy GB. Fulminant aspergillosis of the nose and paranasal sinuses: A new clinical entity. Laryngoscope 1980;90:748–754.PubMedCrossRefGoogle Scholar
  54. 54.
    Schubert MM, Peterson DE, Meyers JD, et al. Head and neck aspergillosis in patients undergoing bone marrow transplantation. Cancer 1986;57:1092–1096.PubMedCrossRefGoogle Scholar
  55. 55.
    Douer D, Goldschmied-Reouven A, Segev S, Ben-Basset I. Human exserohilum and bipolaris infections: Report of Exserohilum nasal infection in a neutropenic patient with acute leukemia and review of the literature. J Med Vet Mycol 1987;25:235–241.PubMedCrossRefGoogle Scholar
  56. 56.
    Davis JJ, Heymen MR. Cryptosporidiosis and sinusitis in an immunodeficient adolescent. J Infect Dis 1988; 158:649.PubMedCrossRefGoogle Scholar
  57. 57.
    Gonzalez M, Gould E, Dickinson G, et al. Acquired immunodeficiency syndrome associated with Acanthamoeba infection and other opportunistic organisms. Arch Pathol Lab Med 1986; 110:749–751.PubMedGoogle Scholar
  58. 58.
    Gherman CR, Ward RR, Bassis ML. Pneumocystis carinii otitis media and mastoiditis as the initial manifestation of the acquired immunodeficiency syndrome. Am J Med 1988;85:250–252.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1996

Authors and Affiliations

  • Ellen R. Wald

There are no affiliations available

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