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Subdural Empyema Complicating Sinusitis
Abstract Acute sinusitis is a common childhood illness most often involving the ethmoid and maxillary sinuses. Diagnosis is usually based on a history of an upper respiratory tract infection lasting longer than 7 days with a prominent nasal component. Treatment involves 10–14 days of antibiotics. In...
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Published in: | The Journal of emergency medicine 2008-10, Vol.35 (3), p.277-281 |
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container_title | The Journal of emergency medicine |
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creator | Waseem, Muhammad, MD Khan, Saqiba, MD Bomann, Scott, MD |
description | Abstract Acute sinusitis is a common childhood illness most often involving the ethmoid and maxillary sinuses. Diagnosis is usually based on a history of an upper respiratory tract infection lasting longer than 7 days with a prominent nasal component. Treatment involves 10–14 days of antibiotics. Intracranial complications of pediatric sinusitis are rare, but potentially life-threatening. These include cavernous sinus thrombosis, orbital and intracranial extension, and meningitis. Children with these complications may experience significant morbidity from their infection. In such cases, delay in diagnosis and treatment may lead to irreparable brain damage or death. We report a case of sinusitis causing a subdural empyema in an otherwise healthy immunocompetent adolescent boy. |
doi_str_mv | 10.1016/j.jemermed.2007.07.019 |
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Diagnosis is usually based on a history of an upper respiratory tract infection lasting longer than 7 days with a prominent nasal component. Treatment involves 10–14 days of antibiotics. Intracranial complications of pediatric sinusitis are rare, but potentially life-threatening. These include cavernous sinus thrombosis, orbital and intracranial extension, and meningitis. Children with these complications may experience significant morbidity from their infection. In such cases, delay in diagnosis and treatment may lead to irreparable brain damage or death. We report a case of sinusitis causing a subdural empyema in an otherwise healthy immunocompetent adolescent boy.</description><identifier>ISSN: 0736-4679</identifier><identifier>EISSN: 2352-5029</identifier><identifier>DOI: 10.1016/j.jemermed.2007.07.019</identifier><identifier>PMID: 18155385</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; brain abscess ; Emergency ; Empyema, Subdural - diagnostic imaging ; Empyema, Subdural - etiology ; Empyema, Subdural - surgery ; Ethmoid Sinusitis - complications ; Ethmoid Sinusitis - diagnostic imaging ; Frontal Sinusitis - complications ; Frontal Sinusitis - diagnostic imaging ; Humans ; Male ; sinusitis ; subdural empyema ; Tomography, X-Ray Computed</subject><ispartof>The Journal of emergency medicine, 2008-10, Vol.35 (3), p.277-281</ispartof><rights>Elsevier Inc.</rights><rights>2008 Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c421t-bd8a747a7476477fc3ab893716239916a1bd60488c921e2e56c30f7748ae0533</citedby><cites>FETCH-LOGICAL-c421t-bd8a747a7476477fc3ab893716239916a1bd60488c921e2e56c30f7748ae0533</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18155385$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Waseem, Muhammad, MD</creatorcontrib><creatorcontrib>Khan, Saqiba, MD</creatorcontrib><creatorcontrib>Bomann, Scott, MD</creatorcontrib><title>Subdural Empyema Complicating Sinusitis</title><title>The Journal of emergency medicine</title><addtitle>J Emerg Med</addtitle><description>Abstract Acute sinusitis is a common childhood illness most often involving the ethmoid and maxillary sinuses. Diagnosis is usually based on a history of an upper respiratory tract infection lasting longer than 7 days with a prominent nasal component. Treatment involves 10–14 days of antibiotics. Intracranial complications of pediatric sinusitis are rare, but potentially life-threatening. These include cavernous sinus thrombosis, orbital and intracranial extension, and meningitis. Children with these complications may experience significant morbidity from their infection. In such cases, delay in diagnosis and treatment may lead to irreparable brain damage or death. We report a case of sinusitis causing a subdural empyema in an otherwise healthy immunocompetent adolescent boy.</description><subject>Adolescent</subject><subject>brain abscess</subject><subject>Emergency</subject><subject>Empyema, Subdural - diagnostic imaging</subject><subject>Empyema, Subdural - etiology</subject><subject>Empyema, Subdural - surgery</subject><subject>Ethmoid Sinusitis - complications</subject><subject>Ethmoid Sinusitis - diagnostic imaging</subject><subject>Frontal Sinusitis - complications</subject><subject>Frontal Sinusitis - diagnostic imaging</subject><subject>Humans</subject><subject>Male</subject><subject>sinusitis</subject><subject>subdural empyema</subject><subject>Tomography, X-Ray Computed</subject><issn>0736-4679</issn><issn>2352-5029</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><recordid>eNqFkU1v2zAMhoWhw5p1-wtFTt3JGSlZX5eiQ9BuAwrskN4FWWYGef7IJHtA_n1tJO1hlwIkeOBLvuBDxq4RNgiovjabhjpKHdUbDqA3S6B9x1ZcSF5I4PaCrUALVZRK20v2MecGADUY_MAu0aCUwsgV-7KbqnpKvl3fd4cjdX69HbpDG4MfY_97vYv9lOMY8yf2fu_bTJ_P9Yo9Pdw_bX8Uj7--_9x-eyxCyXEsqtp4XeolVan1PghfGSs0Ki6sReWxqhWUxgTLkThJFQTstS6NJ5BCXLGb09pDGv5OlEfXxRyobX1Pw5SdstIag3oWqpMwpCHnRHt3SLHz6egQ3ELINe6FkFsIuSXQzoPXZ4epWnqvY2cks-DuJKD5zH-RksshUh-ojonC6Oohvu1x-9-K0MZ-Ztr-oSPlZphSP0N06DJ34HbLn5Y3gQaQpTTiGVuUjcU</recordid><startdate>20081001</startdate><enddate>20081001</enddate><creator>Waseem, Muhammad, MD</creator><creator>Khan, Saqiba, MD</creator><creator>Bomann, Scott, MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20081001</creationdate><title>Subdural Empyema Complicating Sinusitis</title><author>Waseem, Muhammad, MD ; Khan, Saqiba, MD ; Bomann, Scott, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c421t-bd8a747a7476477fc3ab893716239916a1bd60488c921e2e56c30f7748ae0533</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adolescent</topic><topic>brain abscess</topic><topic>Emergency</topic><topic>Empyema, Subdural - diagnostic imaging</topic><topic>Empyema, Subdural - etiology</topic><topic>Empyema, Subdural - surgery</topic><topic>Ethmoid Sinusitis - complications</topic><topic>Ethmoid Sinusitis - diagnostic imaging</topic><topic>Frontal Sinusitis - complications</topic><topic>Frontal Sinusitis - diagnostic imaging</topic><topic>Humans</topic><topic>Male</topic><topic>sinusitis</topic><topic>subdural empyema</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Waseem, Muhammad, MD</creatorcontrib><creatorcontrib>Khan, Saqiba, MD</creatorcontrib><creatorcontrib>Bomann, Scott, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Waseem, Muhammad, MD</au><au>Khan, Saqiba, MD</au><au>Bomann, Scott, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Subdural Empyema Complicating Sinusitis</atitle><jtitle>The Journal of emergency medicine</jtitle><addtitle>J Emerg Med</addtitle><date>2008-10-01</date><risdate>2008</risdate><volume>35</volume><issue>3</issue><spage>277</spage><epage>281</epage><pages>277-281</pages><issn>0736-4679</issn><eissn>2352-5029</eissn><abstract>Abstract Acute sinusitis is a common childhood illness most often involving the ethmoid and maxillary sinuses. 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subjects | Adolescent brain abscess Emergency Empyema, Subdural - diagnostic imaging Empyema, Subdural - etiology Empyema, Subdural - surgery Ethmoid Sinusitis - complications Ethmoid Sinusitis - diagnostic imaging Frontal Sinusitis - complications Frontal Sinusitis - diagnostic imaging Humans Male sinusitis subdural empyema Tomography, X-Ray Computed |
title | Subdural Empyema Complicating Sinusitis |
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