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Section one. Acute and chronic rhinosinusitis.

Abstract
Rhinosinusitis is one of the most common conditions seen by family physicians. Most cases are viral in nature and resolve spontaneously. When symptoms persist for 10 days or more or are accompanied by severe pain and fever, bacterial sinusitis may be present. Current guidelines recommend that acute bacterial sinusitis be treated with amoxicillin-clavulanate. Chronic bacterial sinusitis typically involves a change in the sinus ostia and microbiology. This rarely resolves with antibiotic treatment alone and often warrants surgical intervention. Fungal sinusitis is a rare condition seen more often in immunosuppressed individuals and manifests in severe symptoms along with possible neurologic findings.
AuthorsWilliam J Hueston, Dipinpreet Kaur
JournalFP essentials (FP Essent) Vol. 415 Pg. 11-6 (Dec 2013) ISSN: 2159-3000 [Print] United States
PMID24328948 (Publication Type: Journal Article)
CopyrightWritten permission from the American Academy of Family Physicians is required for reproduction of this material in whole or in part in any form or medium.
Topics
  • Acute Disease
  • Chronic Disease
  • Humans
  • Occupational Exposure
  • Rhinitis (diagnosis, drug therapy, epidemiology, etiology)
  • Sinusitis (diagnosis, drug therapy, epidemiology, etiology)

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