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1 results

  • Significance of Streptococcus milleri in acute rhinosinusitis with complications

  • N M Rankhethoa, C A J Prescott
  • Journal:
    The Journal of Laryngology & Otology / Volume 122 / Issue 8 / August 2008
    Published online by Cambridge University Press:
    11 July 2007, pp. 810-813
    Print publication:
    August 2008
    • Article
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  • Objectives:

    To assess the significance of Streptococcus milleri in acute rhinosinusitis with complications.

    Methods:

    A retrospective case note review was undertaken of in-patients at both the Red Cross Children's Hopital and the Groote Schuur Hospital (for adults), Cape Town, South Africa, between 1999 and 2003, with a diagnosis of acute rhinosinusitis with complications. The following were documented: age, gender, complications, organisms cultured and their sensitivity, type and number of operations, and length of hospital stay.

    Results:

    Seventy-one case notes were reviewed, for 30 female and 41 male patients, representing 38 adults and 33 children. Streptococcus milleri was the most commonly implicated organism (52.1 per cent; 37/71). Patients from whom this organism was isolated tended to require more than one operative procedure, and had a protracted hospital stay.