Sinusitis (Rhinosinusitis)--Subacute/Chronic

Paul G. Auwaerter, M.D., Andrew Victores, M.D.
Sinusitis (Rhinosinusitis)--Subacute/Chronic is a topic covered in the Johns Hopkins ABX Guide.

To view the entire topic, please or purchase a subscription.

Official website of the Johns Hopkins Antibiotic (ABX), HIV, Diabetes, and Psychiatry Guides, powered by Unbound Medicine. Johns Hopkins Guide App for iOS, iPhone, iPad, and Android included. Explore these free sample topics:

Johns Hopkins Guides

-- The first section of this topic is shown below --

PATHOGENS

  • Bacteriology of chronic sinusitis less well defined than acute sinusitis [that is typically caused by Streptococcus pneumoniae, Haemophilus influenzae, Moraxella catarrhalis].
    • A multifactorial disease that aside from infection is thought to result from genetics, environmental or occupational exposures, allergy, immunodeficiencies.
    • Acute exacerbations of chronic sinusitis may be caused by typical respiratory pathogens noted above.
  • Polymicrobial flora typically found if sinuses are cultured
  • Controversy exists over the role of fungi in chronic sinusitis.
    • The suggestion that fungal elements may be inciting an eosinophil-mediated immune response in sinonasal mucosa.

-- To view the remaining sections of this topic, please or purchase a subscription --

Last updated: September 5, 2019