PMID: 2107515Apr 1, 1990Paper

Abnormal maxillary sinus radiographs in children: do they represent bacterial infection?

Pediatrics
L K ArrudaC K Naspitz

Abstract

Thirty-three children with chronic tonsillitis and/or adenoid enlargement and without previous diagnosis of sinusitis were studied regarding the bacterial flora of their maxillary sinuses. Puncture of maxillary sinus was performed at surgery (adenoidectomy and/or tonsillectomy) and aspirates were cultured. Streptococcus pneumoniae was isolated from 8 of 12 (66.7%) patients whose x-rays showed completely opacified maxillary sinus. Streptococcus viridans, Streptococcus faecalis, and Staphylococcus epidermidis were recovered from 6 (28.6%) of the 21 patients with normal maxillary sinus radiographs. Bacterial titers were greater than 10(4) colonies/mL in all but one of the positive cultures. No anaerobic bacteria were isolated. History of bronchial asthma, presence of nasal purulent secretion, elevated blood eosinophils, and elevated serum IgE were found more frequently in children with complete opacification of maxillary sinus. Serum levels of IgG2 were low in 29% of the children, but no correlation was found between low IgG2 levels and positive cultures from maxillary sinus aspirates. We concluded that children with complete radiologic opacification of maxillary sinus had bacterial infection in almost 70% of the cases with sympto...Continue Reading

Citations

Nov 6, 1998·International Journal of Pediatric Otorhinolaryngology·M T FonsecaT A Castro
Jun 22, 1999·International Journal of Pediatric Otorhinolaryngology·F GordtsL Kaufman
Nov 30, 1999·International Journal of Pediatric Otorhinolaryngology·P A ClementE R Wald
May 16, 1998·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·L F DelgadoC K Naspitz
Jul 1, 1997·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·C A OliveiraG S Rachelefsky
Jun 1, 1997·Pediatric Clinics of North America·B A Bangert
May 20, 1998·Electrophoresis·K E Sanderson, S L Liu
Feb 9, 2000·The Journal of Laryngology and Otology·R S JiangC Y Hsu
Apr 28, 2005·AJR. American Journal of Roentgenology·T H MulkensP Bellnick

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