Necrotizing sinusitis.

Necrotizing sinusitis.:


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Necrotizing sinusitis.

Eur Ann Otorhinolaryngol Head Neck Dis. 2020 Jan 22;:

Authors: Mattei P, De Bonnecaze G, Chabrillac E

PMID: 31982361 [PubMed - as supplied by publisher]



1.
Eur Ann Otorhinolaryngol Head Neck Dis. 2020 Jan 22. pii: S1879-7296(20)30004-1. doi: 10.1016/j.anorl.2020.01.003. [Epub ahead of print]
Necrotizing sinusitis.
Mattei P1, De Bonnecaze G1, Chabrillac E2.

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PMID: 31982361 DOI: 10.1016/j.anorl.2020.01.003

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Select item 313954622.
Eur Ann Otorhinolaryngol Head Neck Dis. 2019 Nov;136(6):509-511. doi: 10.1016/j.anorl.2019.05.008. Epub 2019 Aug 5.
Very painful acute frontal sinusitis revealing granulomatosis with polyangiitis.
Montero M1, Mom T2, Smets P3, Gilain L2.

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Abstract

INTRODUCTION:

Granulomatosis with polyangiitis (GPA) is a necrotizing vasculitis of small and medium-sized vessels comprising inflammation of the vessel wall and perivascular and extravascular granulomas, frequently presenting in the form of chronic sinusitis.
OBSERVATION:

We report the case of a 27-year-old man who presented with very painful acute frontal sinusitis that was managed medically and surgically. The symptoms rapidly recurred despite treatment and CT scan demonstrated diffuse thickening of the sinus mucosa. Anti-proteinase 3 ANCA were positive. Biopsy of a pulmonary nodule confirmed the diagnosis of GPA. The patient was treated with corticosteroids in combination with rituximab, resulting in improvement of the clinical, laboratory and CT signs.
DISCUSSION:

In the presence of persistent, acute, localized sinusitis despite appropriate treatment, associated systemic signs and/or the presence of other signs suggestive of GPA, the ENT surgeon must request a targeted work-up. In the absence of treatment, GPA can be fatal within a few months. However, with currently available treatment, remission is obtained in 80% of cases with a 75% 10-year survival rate.

Copyright © 2019. Published by Elsevier Masson SAS.

KEYWORDS:

Anti-neutrophil cytoplasmic antibodies; Anti-neutrophil cytoplasmic antibody-associated vasculitis; Frontal sinusitis; Granulomatosis with polyangiitis; Histology
PMID: 31395462 DOI: 10.1016/j.anorl.2019.05.008

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Select item 308081503.
Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2019 Feb 5;33(2):181-182. doi: 10.13201/j.issn.1001-1781.2019.02.022.
[A case report of epidural abscess caused by acute frontal sinusitis].
[Article in Chinese]
Wang X, Zhang Y, Song XC.

Abstract


Epidural epidural abscess is usually secondary to acute frontal sinusitis and osteomyelitis of the frontal bone. Nose-derived intracranial connplications are less common than otogenic ones, and infections caused by nasal and sinus trauma, foreign bodies and surgery are more common than those caused by inflammation alone. The frontal lobe abscess caused by frontal sinusitis is more common in brain abscess with nasal intracranial complications.

Copyright by the Editorial Department of Journal of Clinical Otorhinolaryngology Head and Neck Surgery.

KEYWORDS:

epidural abscess; rhinogenic intracranial complications; the frontal sinusitis
PMID: 30808150 DOI: 10.13201/j.issn.1001-1781.2019.02.022
[Indexed for MEDLINE]
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Conflict of interest statement


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Select item 305623344.
Ophthalmic Plast Reconstr Surg. 2019 Jan/Feb;35(1):e21-e22. doi: 10.1097/IOP.0000000000001288.
Necrotic Herpes Simplex Virus Infection of the Nose and Orbit.
Dryden SC1, Fleming JC.

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Abstract


This is the first reported case of necrotizing nasal and sinus herpes infection with orbital involvement. A 94-year-old male with a past medical history of hypertension, congestive heart failure, and chronic kidney disease presented with necrotic nasal cellulitis and a red left eye with blurry vision. Onset was 2 weeks prior with an upper lip fever blister. He was admitted to medicine and started on antimicrobials. Maxillofacial computed tomography scan revealed pansinusitis with involvement of bilateral medial orbital walls. Initial nasal biopsy was negative. Repeat biopsy was positive for herpes simplex virus 1. His nose was debrided with full-thickness skin grafting. While there are reports of necrotizing herpes simplex, none were to the extent of our patient nor raised suspicion for invasive fungal sinusitis. Differentiating is important as this patient made a full recovery in comparison to patients with mucormycosis where mortality is often as high as 80%.
PMID: 30562334 DOI: 10.1097/IOP.0000000000001288
[Indexed for MEDLINE]
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Select item 287077835.
Int Forum Allergy Rhinol. 2017 Sep;7(9):910-915. doi: 10.1002/alr.21981. Epub 2017 Jul 14.
Aggressive necrotizing pseudomonal sinonasal infections.
Kuan EC1, Tajudeen BA2, Welch KC3, Chandra RK4, Glasgow BJ5,6, Suh JD1.

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Abstract

BACKGROUND:

Pseudomonas aeruginosa is a gram-negative bacterium frequently implicated in recalcitrant sinonasal infections, especially in immunocompromised hosts. We report 6 cases of rapidly progressive pseudomonal acute rhinosinusitis producing tissue necrosis and, in certain cases, cranial nerve palsies.
METHODS:

Retrospective review of 6 patients with aggressive necrotizing sinonasal infections treated at 4 tertiary academic medical centers with sinonasal cultures growing P. aeruginosa in the absence of other pathology.
RESULTS:

A total of 6 patients were identified. In all cases, there was tissue necrosis that appeared to mimic an invasive process such as mucormycosis, prompting urgent surgical intervention. Pathologic analysis revealed fibropurulent exudates in backgrounds of positive P. aeruginosa cultures without evidence of invasive fungal organisms or malignancy. Four of the 6 patients presented with cranial nerve palsies, with 3 patients having vision changes and 3 complaining of trigeminal neuropathy. Four of 6 patients improved clinically over time after surgery and antibiotic therapy; 1 remains in follow-up without complete improvement and 1 has succumbed to other causes.
CONCLUSION:

P. aeruginosa is a tenacious organism that is frequently associated with severe, recalcitrant sinonasal infections. We report the first case series of necrotizing sinonasal infections caused by this organism, and illustrate that, in rare cases, P. aeruginosa may mimic and behave like life-threatening conditions such as fulminant invasive fungal sinusitis or malignancy.

© 2017 ARS-AAOA, LLC.

KEYWORDS:

Pseudomonas; immunocompromised; infection; necrotizing; sinusitis
PMID: 28707783 DOI: 10.1002/alr.21981
[Indexed for MEDLINE]
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Select item 285969276.
Case Rep Infect Dis. 2017;2017:1717492. doi: 10.1155/2017/1717492. Epub 2017 May 17.
Necrotizing Pseudomonas aeruginosa Community-Acquired Pneumonia: A Case Report and Review of the Literature.
Maharaj S1, Isache C2, Seegobin K1, Chang S3, Nelson G1.

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Abstract


Lung cavities are not typically associated with community-acquired pneumonia (CAP). CAP due to P. aeruginosa is rare and even less commonly causes necrotizing pneumonia. We report a case of P. aeruginosa CAP that progressed to necrotizing pneumonia and was eventually fatal. Procalcitonin (PCT) has been well investigated in guiding antibiotic therapy (especially CAP) in adults. In this case, PCT at presentation and sequentially was negative. We discuss this caveat and present hypotheses as to the sensitivity and specificity of PCT and C-reactive protein (CRP) in these patients. To better characterize P. aeruginosa CAP, we undertook a review of cases indexed in PubMed from 2001 to 2016 (n = 9). The data reveal that risk factors for P. aeruginosa CAP include smoking, alcohol use, obstructive lung disease, sinusitis, and hot tub use. The route of infection for P. aeruginosa CAP remains unknown. One of the most interesting findings on reviewing cases was that P. aeruginosa CAP involves the right upper lobe in the vast majority. We suggest that when physicians in the community see patients with distinctly upper lobe necrotizing or cavitary pneumonia, they should consider P. aeruginosa in their differential diagnosis. Further studies are needed to clarify route of infection, role of PCT and CRP, and optimal therapy including drug and duration.
PMID: 28596927 PMCID: PMC5449726 DOI: 10.1155/2017/1717492
Free PMC Article
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Select item 273946517.
J Comp Pathol. 2016 Aug-Oct;155(2-3):121-125. doi: 10.1016/j.jcpa.2016.06.004. Epub 2016 Jul 6.
Prototheca species and Pithomyces chartarum as Causative Agents of Rhinitis and/or Sinusitis in Horses.
Schöniger S1, Roschanski N2, Rösler U2, Vidovic A3, Nowak M4, Dietz O5, Wittenbrink MM5, Schoon HA6.

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Abstract


Pyogranulomatous rhinitis associated with an algal infection was diagnosed in a 25-year-old gelding and a 23-year-old mare had necrotizing sinusitis with intralesional algae and pigmented fungi. Algae were identified immunohistochemically in both cases as Prototheca spp. In the gelding, further characterization by polymerase chain reaction and sequencing revealed that the organism was Prototheca zopfii genotype 2. Fungi from the mare were identified as Pithomyces chartarum by molecular analysis. Prototheca species are achlorophyllous algae and P. chartarum represents a dematiaceous fungus; they are saprophytes and facultative pathogens. Prototheca spp. and P. chartarum should be considered as rare respiratory pathogens of horses.

Copyright © 2016 Elsevier Ltd. All rights reserved.

KEYWORDS:

Pithomyces chartarum; Prototheca species; equine; upper respiratory tract
PMID: 27394651 DOI: 10.1016/j.jcpa.2016.06.004
[Indexed for MEDLINE]
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Select item 267588638.
Curr Allergy Asthma Rep. 2016 Feb;16(2):10. doi: 10.1007/s11882-015-0591-4.
Understanding Biofilms in Chronic Sinusitis.
Tajudeen BA1, Schwartz JS2, Palmer JN3.

Author information


Abstract


Chronic sinusitis is a burdensome disease that has substantial individual and societal impact. Although great advances in medical and surgical therapies have been made, some patients continue to have recalcitrant infections. Microbial biofilms have been implicated as a cause of recalcitrant chronic sinusitis, and recent studies have tried to better understand the pathogenesis of chronic sinusitis as it relates to microbial biofilms. Here, we provide an overview of biofilms in chronic sinusitis with emphasis on pathogenesis, treatment, and future directions. In addition, recent evidence is presented, elucidating the role of bitter taste receptors as a possible key factor leading to biofilm formation.

KEYWORDS:

Biofilms; Bitter taste receptors; Chronic sinusitis; Innate immunity; Sinus surgery; T2R38
PMID: 26758863 DOI: 10.1007/s11882-015-0591-4
[Indexed for MEDLINE]
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Select item 264763809.
Neuroimaging Clin N Am. 2015 Nov;25(4):569-76. doi: 10.1016/j.nic.2015.07.004. Epub 2015 Aug 21.
Fungal Sinusitis.
Raz E1, Win W1, Hagiwara M1, Lui YW1, Cohen B1, Fatterpekar GM2.

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Abstract


Fungal sinusitis is characterized into invasive and noninvasive forms. The invasive variety is further classified into acute, chronic and granulomatous forms; and the noninvasive variety into fungus ball and allergic fungal sinusitis. Each of these different forms has a unique radiologic appearance. The clinicopathologic and corresponding radiologic spectrum and differences in treatment strategies of fungal sinusitis make it an important diagnosis for clinicians and radiologists to always consider. This is particularly true of invasive fungal sinusitis, which typically affects immuno compromised patients and is associated with significant morbidity and mortality. Early diagnosis allows initiation of appropriate treatment strategies resulting in favorable outcome.

Published by Elsevier Inc.

KEYWORDS:

Allergic fungal sinusitis; Granulomatous fungal sinusitis; Invasive fungal sinusitis; Noninvasive fungal sinusitis
PMID: 26476380 DOI: 10.1016/j.nic.2015.07.004
[Indexed for MEDLINE]
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Select item 2480125610.
Ophthalmic Plast Reconstr Surg. 2015 Mar-Apr;31(2):e31-3. doi: 10.1097/IOP.0000000000000057.
Orbital necrotizing fasciitis and osteomyelitis caused by arcanobacterium haemolyticum: a case report.
Stone LA1, Harshbarger RJ 3rd.

Author information


Abstract


The facial region is infrequently affected by necrotizing infections. Orbital necrotizing infections are even rarer, seen following trauma, local skin infection, and sinusitis. The authors report a unique case of orbital necrotizing fasciitis and osteomyelitis resulting from Arcanobacterium Haemolyticum ethmoid sinusitis. No prior occurrences of Arcanobacterial species orbital necrotizing fasciitis/osteomyelitis have been reported.A 16-year-old boy presented to the ER with a 3-day history of fever, chills, headache, and sinus pressure. CT scan revealed soft tissue swelling of the right orbit, forehead, and ethmoid sinusitis. Within 24 hours of admission, he suffered rapidly progressive swelling and erythema of the right orbit and forehead with diminished visual acuity, despite broad-spectrum antibiotics. Orbital exploration revealed frankly necrotic fascia and periosteum along the superior aspect. Lateral canthotomy, cantholysis, decompression of the optic nerve, and soft tissue debridement with bone biopsy was performed. Operative specimens isolated Arcanobacterium Haemolyticum. Pathologic examination revealed right orbital osteomyelitis.

Comment in
Re: "Orbital Necrotizing Fasciitis and Osteomyelitis Caused by Arcanobacterium haemolyticum: A Case Report". [Ophthalmic Plast Reconstr Surg. 2015]
PMID: 24801256 DOI: 10.1097/IOP.0000000000000057
[Indexed for MEDLINE]
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Select item 2567894911.
Ann Stomatol (Roma). 2014 Oct 25;5(Suppl 2 to No 2):37-9. eCollection 2014 Oct-Dec.
Odontogenic maxillary sinusitis with oro-nasal fistula: a case report.
Carini F1, Longoni S1, Amosso E1, Carini S2, Garavello W3, Porcaro G1.

Author information


Abstract

AIM OF THE STUDY:

The odontogenic sinusitis has an incidence between 38 and 40.6%. Increased risk of maxillary sinusitis has been reported with the presence of periapical abscesses, periodontal disease, dental trauma, tooth extraction and implant placement when the sinusal membrane is perforated.
MATERIALS AND METHODS:

A patient with odontogenic maxillary sinusitis associated with oro-nasal fistula was treated.
RESULTS:

The follow-up at six months showed the complete resolution of maxillary sinusitis, palatal fistula got closed and pain symptoms disappeared.
CONCLUSION:

This case report describes a rare complication of odontogenic maxillary sinusitis: the oro-nasal fistula.

KEYWORDS:

maxillary sinusitis; odontogenic sinusitis; oro-antral fistula; oro-nasal fistula
PMID: 25678949 PMCID: PMC4308966
Free PMC Article
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Select item 2293919512.
J Stroke Cerebrovasc Dis. 2014 Jan;23(1):173-5. doi: 10.1016/j.jstrokecerebrovasdis.2012.07.013. Epub 2012 Aug 29.
Fulminant cerebral infarction of anterior and posterior cerebral circulation after ascending type of facial necrotizing fasciitis.
Lee JH1, Choi HC2, Kim C3, Sohn JH3, Kim HC4.

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Abstract


Necrotizing fasciitis is a soft tissue infection that is characterized by extensive necrosis of the subcutaneous fat, neurovascular structures, and fascia. Cerebral infarction after facial necrotizing fasciitis has been rarely reported. A 61-year-old woman with diabetes was admitted with painful swelling of her right cheek. One day later, she was stuporous and quadriplegic. A computed tomographic scan of her face revealed right facial infection in the periorbital soft tissue, parotid, buccal muscle, and maxillary sinusitis. A computed tomographic scan of the brain revealed cerebral infarction in the right hemisphere, left frontal area, and both cerebellum. Four days later, she died from cerebral edema and septic shock. Involvement of the cerebral vasculature, such as the carotid or vertebral artery by necrotizing fasciitis, can cause cerebral infarction. Facial necrotizing fasciitis should be treated early with surgical treatment and the appropriate antibiotic therapy.

Copyright © 2014 National Stroke Association. Published by Elsevier Inc. All rights reserved.

KEYWORDS:

Cerebral infarction; necrotizing fasciitis
PMID: 22939195 DOI: 10.1016/j.jstrokecerebrovasdis.2012.07.013
[Indexed for MEDLINE]
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Select item 2434068013.
Duodecim. 2013;129(21):2294-5.
[Update on Current Care Guideline: Sinusitis].
[Article in Finnish]
Hytönen M1, Nokso-Koivisto J, Huovinen P, Ilkko E, Jousimaa J, Kivistö J, Korppi M, Liira H, Malmivaara A, Numminen J, Pirilä T.

Author information


Abstract


Patients with common cold have often symptoms similar to sinusitis. These symptoms often resolve in time, but symptomatic treatment (e.g. analgesics, decongestants) may be used. If symptoms continue for over 10 days, or severe symptoms continue for over 3 days, or symptoms turn worse in the course of the disease, bacterial sinusitis should be suspected. Diagnosis is based on clinical findings, and can be confirmed with ultrasound examination. Amoxicillin, penicillin or doxicyclin are recommended for bacterial sinusitis. Patients with chronic or recurrent sinusitis should be referred to specialist care.
PMID: 24340680
[Indexed for MEDLINE]
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Select item 2159325614.
J Clin Microbiol. 2011 Jul;49(7):2740-2. doi: 10.1128/JCM.00722-11. Epub 2011 May 18.
Acute necrotizing sinusitis caused by Staphylococcus lugdunensis.
Matthews PC1, Lazarus R, Protheroe A, Milford C, Bowler IC.

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Abstract


Staphylococcus lugdunensis is most commonly associated with infections arising from the inguinal region, but here we report this organism as a cause of bacterial sinusitis, highlighting its potential niche as a commensal of the upper airways. The severity of necrosis demonstrates the potential for destructive pathology mimicking Staphylococcus aureus disease.
PMID: 21593256 PMCID: PMC3147850 DOI: 10.1128/JCM.00722-11
[Indexed for MEDLINE] Free PMC Article
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Select item 2218759215.
Pan Afr Med J. 2011;10:10. Epub 2011 Sep 25.
[Orbito-palpebral necrotizing fasciitis complicating a pansinusitis in a patient with diabetes].
[Article in French]
Benatiya Andaloussi I1, Abdellaoui M, Bhallil S, Tahri H.

Author information

PMID: 22187592 PMCID: PMC3282935
[Indexed for MEDLINE] Free PMC Article
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Select item 2055673716.
Ear Nose Throat J. 2010 Jun;89(6):262-7.
Ecthyma gangrenosum mimicking acute invasive fungal sinusitis in an immunocompromised patient.
Hekiert AM1, Cohen MB, Montone KT, Palmer JN, Govindaraj S.

Author information


Abstract


Ecthyma gangrenosum is a rare necrotizing cutaneous infection usually caused by Pseudomonas aeruginosa. We report a case of ecthyma gangrenosum presenting as a sinonasal eschar and mimicking acute invasive fungal sinusitis in an immunocompromised 39-year-old man with a hematologic malignancy. To the best of our knowledge, this represents the first case of ecthyma gangrenosum affecting the sinonasal mucosa to be reported in the literature.
PMID: 20556737
[Indexed for MEDLINE]
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Select item 1906614217.
Rev Med Suisse. 2008 Nov 26;4(181):2560-2.
[Acute sinusitis].
[Article in French]
Pasche O1, Rodondi PY, Cavassini M, Barras F, Cornuz J.

Author information


Abstract


Rhino-sinusitis is one of the most complaint in ambulatory clinic sitting and nasal obstruction. This diagnosis is however difficult and general practitioners might overdiagnose acute bacterial sinusitis. Most imaging is not useful in determining sinusitis. Acute sinusitis is very often a self-limiting disease. Antibiotics should be prescribed only after one week of symptoms' duration and in case of the presence of two additional criteria: pain and purulent nasal discharge with nasal obstruction.
PMID: 19066142
[Indexed for MEDLINE]
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Select item 1863030118.
Mo Med. 2008 May-Jun;105(3):224-8; quiz 228-9.
Sinusitis in the pediatric population.
Donovan TJ1.

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Abstract


A greater utilization of endoscopes in the evaluation and surgical management of pediatric sinus disease, in addition to the increased sensitivity added by CT diagnosis of sinusitis, has given physicians a heightened awareness of sinusitis in children. Advances in immunology, both diagnostic and therapeutic, have created a more multidisciplinary approach to the management of sinusitis in the pediatric patient. This article will discuss important co-existent diseases, the medical management of pediatric sinusitis, the indications for surgical intervention and outcomes and sequellae of the management of this disease process.
PMID: 18630301
[Indexed for MEDLINE]
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Select item 1820671519.
Prim Care. 2008 Mar;35(1):11-24, v-vi. doi: 10.1016/j.pop.2007.09.002.
The diagnosis and management of acute and chronic sinusitis.
Leung RS1, Katial R.

Author information


Abstract


Both acute and chronic sinusitis are common diseases associated with significant morbidity and consumption of health care dollars. Acute sinusitis is caused by an infectious process and can often be difficult to distinguish from a viral upper respiratory infection, as signs, symptoms, and even the results of most diagnostic tests overlap. In contrast, chronic sinusitis is an inflammatory disease and, contrary to common practice, long term antibiotics are likely not useful. This article reviews the diagnosis and management of both acute and chronic sinusitis and includes discussion of the prevalence of disease, our current understanding of disease pathogenesis, diagnosis, and contemporary treatment.
PMID: 18206715 DOI: 10.1016/j.pop.2007.09.002
[Indexed for MEDLINE]
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Select item 1789428720.
Bull Soc Belge Ophtalmol. 2007;(303):47-9.
[Necrotizing fasciitis caused by pseudomonas aeruginosa (an obervation)].
[Article in French]
Abada A1, Benhmidoune L, Tahiri H, Essalim K, Chakib A, Elbelhadji M, Rachid R, Zaghloul K, Amraoui A.

Author information


Abstract


Necrotizing fasciitis is an exceptional and severe form of subcutaneous gangrene which requires early diagnosis and emergency treatment. We report the case of a 24 year old woman presenting with necrotizing fasciitis after pansinusitis resistant to treatment. The germ detected was pseudomonas aeruginosa. The infection was controled with intensive care, antibiotics and surgical resection of necrotic tissues. The aim of this observation is to highlight the clinical characteristics of this disease, and to insist on the necessity to recognize the early symptoms and to start treatment as soon as possible.
PMID: 17894287
[Indexed for MEDLINE]
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