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Microbiology of Acute and Chronic Sinusitis in Children and Adults

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Diseases of the Sinuses

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.

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Authors
  1. Ellen R. Wald MD
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Editors and Affiliations

  1. Division of Rheumatology, Allergy, and Clinical Immunology, University of California, Davis, CA

    M. Eric Gershwin MD  & Gary A. Incaudo MD  & 

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Wald, E.R. (1996). Microbiology of Acute and Chronic Sinusitis in Children and Adults. In: Gershwin, M.E., Incaudo, G.A. (eds) Diseases of the Sinuses. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-4612-0225-7_5

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  • DOI: https://doi.org/10.1007/978-1-4612-0225-7_5

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-4612-6670-9

  • Online ISBN: 978-1-4612-0225-7

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