Clinical Crossroads Update |

A 48-Year-Old Man With Recurrent Sinusitis, 1 Year Later

Richard A. Parker, MD; Erin E. Hartman, MS
JAMA. 2001;285(4):462. doi:10.1001/jama.285.4.462.
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In December 1999, at Medicine Grand Rounds, David Kennedy, MD, discussed the pathophysiology and diagnostic strategies and treatment options for acute and chronic sinusitis. Mr S, a 48-year-old man, recounted a history of recurrent episodes of sinusitis during a 21-year period. Early on, surgical drainage improved symptoms, but over time, the episodes of postnasal drip, facial pain, yellow nasal discharge, and malaise recurred. Multiple courses of antibiotics seemed to work less well over time. He averaged about 8 episodes of sinusitis per year. Dr Kennedy suggested a nasal endoscopy for Mr S. If chronic inflammation, polyps, or edema were found, surgery would be reasonable to consider.



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