Hostname: page-component-586b7cd67f-2plfb Total loading time: 0 Render date: 2024-11-23T04:00:11.033Z Has data issue: false hasContentIssue false
  • English
  • Français

Septic shock and death due to occult sinusitis

Published online by Cambridge University Press:  29 June 2007

M. A. Hariri  and
P. A. Vice
M. A. Hariri*
Affiliation:
Department of Otolaryngology, Royal Preston Hospital.
P. A. Vice
Affiliation:
Department of Internal Medicine, Royal Preston Hospital.
*
Centre for Audiology, Education of the Deaf & Speech Pathology, University of Manchester, Oxford Road, Manchester M13 9PL.
Get access Rights & Permissions [Opens in a new window]

Abstract

We report a case of septicaemia and death due to occult sinusitis in an otherwise healthy adult. Septicaemia was diagnosed on clinical grounds and blood culture grew Streptococcus pneumoniae. Maxillary sinusitis was discovered incidentally on a CT scan four days after the onset of symptoms. A sinus wash-out revealed pus which on culture was positive for Streptococcus pneumoniae. The patient deteriorated gradually and died despite appropriate therapy. We conclude that sinusitis should be suspected in any case of septicaemia where the primary focus is not known and the patient does not respond quickly to treatment.

Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 104 , Issue 12 , December 1990 , pp. 990
Copyright
Copyright © JLO (1984) Limited 1990

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Deutschman, C. S., Wilton, P. B., Sinow, J., Thienprasit, P., Konstantinides, F. N., Cerra, F. B. (1985) Paranasal sinusitis: A common complication of nasotracheal intubation in neurosurgical patients. Neurosurgery, 17: 296–299.CrossRefGoogle ScholarPubMed
Murphy, P. A. (1987) Septicaemia In Oxford textbook of medicine (Weatherall, D. J., Ledingham, J. G. G., Warrell, D. A., eds.) Oxford University Press, Oxford, p. 608–613.Google Scholar
Todd, J. K. (1987) Toxic shock syndrome, staphylococcus aureus and influenza. Journal of the American Medical Association, 257: 3070–3071.CrossRefGoogle ScholarPubMed