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Home > West Medicine > ENT & Ophthalmology > ENT
J01.901

Acute Purulent Sinusitis

耳鼻喉科

Common symptoms

发炎、鼻前庭皮肤红肿疼痛、鼻孔流脓、鼻根部水肿、嗅觉障碍、脓性分泌物

The pathology of disease

Acute purulent sinusitis is bacterial infection of the paranasal sinuses (Streptococcus pneumoniae/H. influenzae/M. catarrhalis), presenting with persistent purulent nasal discharge/facial pain/headache/fever >10 days or worsening after initial improvement. Treatment: amoxicillin-clavulanate; intranasal corticosteroids; saline irrigation; oral/topical decongestants short-term; analgesics; drainage/ENT referral if complications (orbital/intracranial) or persistent.

Common Symptoms

Purulent nasal discharge; facial pain/headache; fever; >10 days or worsening

Causes and Pathogenesis

Viral/allergy causes sinus ostial obstruction; secondary bacterial infection causes purulent sinusitis.

Treatment

Amoxicillin-clavulanate; intranasal steroids; saline; decongestants; drainage if complications

Preventive Measures

Treat allergic rhinitis; saline irrigation; avoid smoking.

Department to Visit

It is recommended to visit the ENT/General practice department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.