Sinusitis

Epidemiología y Etiología

Epidemiología

• Incidencia: 1 de 7–8 personas por año
• Ocurre en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum hasta el 80% de los LOS Neisseria pacientes con infecciones de las vías respiratorias superiores no complicadas.
• La sinusitis Sinusitis Sinusitis refers to inflammation of the mucosal lining of the paranasal sinuses. The condition usually occurs concurrently with inflammation of the nasal mucosa (rhinitis), a condition known as rhinosinusitis. Acute sinusitis is due to an upper respiratory infection caused by a viral, bacterial, or fungal agent. Sinusitis bacteriana solo se encuentra en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum el 0,5 %–2% de los LOS Neisseria casos
• El pico de incidencia anual coincide con el pico de las infecciones de las vías respiratorias superiores virales en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum los LOS Neisseria meses de otoño/invierno
• Mayor incidencia en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum mujeres y en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum personas de 45–64 años

Etiología

• Factores predisponentes:
  • Anomalías anatómicas de los LOS Neisseria senos paranasales o la cavidad nasal (desviación del tabique nasal, concha bulosa, espolones óseos, pólipo nasal, atresia Atresia Hypoplastic Left Heart Syndrome (HLHS) de coanas)
  • Deterioro de la función ciliar ( fibrosis Fibrosis Any pathological condition where fibrous connective tissue invades any organ, usually as a consequence of inflammation or other injury. Bronchiolitis Obliterans quística, discinesia ciliar primaria, inmunodeficiencia)
  • Rinitis alérgica y vasomotora
  • Infecciones de las vías respiratorias superiores recurrentes
  • Asma ASMA Autoimmune Hepatitis y alergias
  • Enfermedad dental
  • Inmunodeficiencia
  • Edad avanzada
  • Consumo de tabaco
  • Abuso de cocaína
  • Viaje aéreo
  • Exposición al AL Amyloidosis cambio de presión atmosférica (e.g., buceo en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum aguas profundas)
  • Natación
  • Cuerpo extraño en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum la cavidad nasal
• Aguda: dura ≤ 4 semanas
  • Viral (más común): rinovirus, coronavirus Coronavirus Coronaviruses are a group of related viruses that contain positive-sense, single-stranded RNA. Coronavirus derives its name from “κορώνη korṓnē” in Greek, which translates as “crown,” after the small club-shaped proteins visible as a ring around the viral envelope in electron micrographs. Coronavirus, virus Virus Viruses are infectious, obligate intracellular parasites composed of a nucleic acid core surrounded by a protein capsid. Viruses can be either naked (non-enveloped) or enveloped. The classification of viruses is complex and based on many factors, including type and structure of the nucleoid and capsid, the presence of an envelope, the replication cycle, and the host range. Virology de la influenza Influenza Influenza viruses are members of the Orthomyxoviridae family and the causative organisms of influenza, a highly contagious febrile respiratory disease. There are 3 primary influenza viruses (A, B, and C) and various subtypes, which are classified based on their virulent surface antigens, hemagglutinin (HA) and neuraminidase (NA). Influenza typically presents with a fever, myalgia, headache, and symptoms of an upper respiratory infection. Influenza Viruses/Influenza, adenovirus Adenovirus Adenovirus (member of the family Adenoviridae) is a nonenveloped, double-stranded DNA virus. Adenovirus is transmitted in a variety of ways, and it can have various presentations based on the site of entry. Presentation can include febrile pharyngitis, conjunctivitis, acute respiratory disease, atypical pneumonia, and gastroenteritis. Adenovirus, virus Virus Viruses are infectious, obligate intracellular parasites composed of a nucleic acid core surrounded by a protein capsid. Viruses can be either naked (non-enveloped) or enveloped. The classification of viruses is complex and based on many factors, including type and structure of the nucleoid and capsid, the presence of an envelope, the replication cycle, and the host range. Virology de la parainfluenza
  • Bacteriana: Streptococcus Streptococcus Streptococcus is one of the two medically important genera of gram-positive cocci, the other being Staphylococcus. Streptococci are identified as different species on blood agar on the basis of their hemolytic pattern and sensitivity to optochin and bacitracin. There are many pathogenic species of streptococci, including S. pyogenes, S. agalactiae, S. pneumoniae, and the viridans streptococci. Streptococcus pneumoniae, Haemophilus influenzae Haemophilus Influenzae A species of Haemophilus found on the mucous membranes of humans and a variety of animals. The species is further divided into biotypes I through viii. Haemophilus, Moraxella catarrhalis Moraxella catarrhalis Gram-negative aerobic cocci of low virulence that colonize the nasopharynx and occasionally cause meningitis; bacteremia; empyema; pericarditis; and pneumonia. Moraxella, Staphylococcus aureus Staphylococcus aureus Potentially pathogenic bacteria found in nasal membranes, skin, hair follicles, and perineum of warm-blooded animals. They may cause a wide range of infections and intoxications. Brain Abscess, Escherichia coli Escherichia coli The gram-negative bacterium Escherichia coli is a key component of the human gut microbiota. Most strains of E. coli are avirulent, but occasionally they escape the GI tract, infecting the urinary tract and other sites. Less common strains of E. coli are able to cause disease within the GI tract, most commonly presenting as abdominal pain and diarrhea. Escherichia coli, Klebsiella Klebsiella Klebsiella are encapsulated gram-negative, lactose-fermenting bacilli. They form pink colonies on MacConkey agar due to lactose fermentation. The main virulence factor is a polysaccharide capsule. Klebsiella pneumoniae is the most important pathogenic species. Klebsiella
    • S. pneumoniae y H. influenzae H. influenzae A species of Haemophilus found on the mucous membranes of humans and a variety of animals. The species is further divided into biotypes I through VIII. Haemophilus son responsables del 75% de los LOS Neisseria casos
• Crónica: dura más de 12 semanas; caracterizada por una inflamación prolongada de los LOS Neisseria senos paranasales; ocasionalmente asociada con trastornos de inmunodeficiencia
  • Fúngica: Aspergillus Aspergillus A genus of mitosporic fungi containing about 100 species and eleven different teleomorphs in the family trichocomaceae. Echinocandins, Rhizopus Rhizopus A genus of zygomycetes fungi of the family mucoraceae, order mucorales, a common saprophyte and facultative parasite of mature fruits and vegetables. It may cause cerebral mycoses in diabetes and cutaneous infection in severely burned patients. Mucorales/Mucormycosis oryzae
  • Bacteriana: S. aureus S. aureus Potentially pathogenic bacteria found in nasal membranes, skin, hair follicles, and perineum of warm-blooded animals. They may cause a wide range of infections and intoxications. Staphylococcus (a menudo S. aureus S. aureus Potentially pathogenic bacteria found in nasal membranes, skin, hair follicles, and perineum of warm-blooded animals. They may cause a wide range of infections and intoxications. Staphylococcus resistente a la meticilina) y organismos anaeróbicos ( Prevotella Prevotella A genus of gram-negative, anaerobic, nonsporeforming, nonmotile rods. Organisms of this genus had originally been classified as members of the bacteroides genus but overwhelming biochemical and chemical findings in 1990 indicated the need to separate them from other bacteroides species, and hence, this new genus was established. Dog and Cat Bites, Porphyromonas Porphyromonas A genus of gram-negative, anaerobic, nonsporeforming, nonmotile rods or coccobacilli. Organisms in this genus had originally been classified as members of the bacteroides genus but overwhelming biochemical and chemical findings indicated the need to separate them from other bacteroides species, and hence, this new genus was created. Dog and Cat Bites, Fusobacterium Fusobacterium A genus of gram-negative, anaerobic, rod-shaped bacteria found in cavities of humans and other animals. No endospores are formed. Some species are pathogenic and occur in various purulent or gangrenous infections. Dog and Cat Bites y Peptostreptococcus Peptostreptococcus A genus of gram-positive, anaerobic, coccoid bacteria that is part of the normal flora of humans. Its organisms are opportunistic pathogens causing bacteremias and soft tissue infections. Perianal and Perirectal Abscess spp.)

Fisiopatología

Viral

• Inoculación por contacto directo con la conjuntiva o mucosa nasal
• La replicación viral se puede detectar a través de los LOS Neisseria niveles virales en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum las secreciones nasales dentro de las 8–10 horas.
• Los LOS Neisseria síntomas pueden ocurrir después del primer día de la inoculación.

Bacteriana

• Cambio fisiopatológico más importante: obstrucción del drenaje sinusal
• El movimiento normal metacrónico (secuencial) de la mucosa hacia los LOS Neisseria orificios naturales de los LOS Neisseria senos paranasales suele verse interrumpido por la inflamación de la mucosa → estasis
• El deterioro de la función ciliar conduce a una reducción en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum el drenaje de moco → estasis
• La estasis de secreciones dentro de los LOS Neisseria senos conduce a una proliferación de microorganismos.
• Las alteraciones en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum la composición y cantidad del moco también pueden contribuir a la infección; se observa un aumento de la producción de moco en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum el asma ASMA Autoimmune Hepatitis, la rinitis y las infecciones de las vías respiratorias superiores virales

Presentación Clínica

Manifestaciones generales

• Congestión y obstrucción nasal
• Secreción nasal mucopurulenta o purulenta
• Cefalea
• Dolor Dolor Inflammation facial o pesadez sobre el seno afectado (aumenta al AL Amyloidosis inclinarse hacia adelante)
  • Senos maxilares: sobre las mejillas
  • Senos frontales: parte inferior de la frente
  • Senos etmoidales: puente nasal o entre/detrás de los LOS Neisseria ojos
• Fiebre
• Molestias en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum los LOS Neisseria dientes maxilares y otros dolores faciales
• Malestar general y mialgia

Sinusitis Sinusitis Sinusitis refers to inflammation of the mucosal lining of the paranasal sinuses. The condition usually occurs concurrently with inflammation of the nasal mucosa (rhinitis), a condition known as rhinosinusitis. Acute sinusitis is due to an upper respiratory infection caused by a viral, bacterial, or fungal agent. Sinusitis viral

La sinusitis Sinusitis Sinusitis refers to inflammation of the mucosal lining of the paranasal sinuses. The condition usually occurs concurrently with inflammation of the nasal mucosa (rhinitis), a condition known as rhinosinusitis. Acute sinusitis is due to an upper respiratory infection caused by a viral, bacterial, or fungal agent. Sinusitis viral generalmente se presenta en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum una forma más leve y dura de 7–10 días.

Sinusitis Sinusitis Sinusitis refers to inflammation of the mucosal lining of the paranasal sinuses. The condition usually occurs concurrently with inflammation of the nasal mucosa (rhinitis), a condition known as rhinosinusitis. Acute sinusitis is due to an upper respiratory infection caused by a viral, bacterial, or fungal agent. Sinusitis bacteriana

• Persiste durante > 10 días sin mejoría clínica
• Patrón bifásico: inicialmente puede mejorar, luego empeora después de 5–6 días (“empeoramiento doble”)
• Se presenta con síntomas más severos:
  • Fiebre alta
  • Dolor Dolor Inflammation facial intenso
  • Hiposmia o anosmia Anosmia Complete or severe loss of the subjective sense of smell. Loss of smell may be caused by many factors such as a cold, allergy, olfactory nerve diseases, viral respiratory tract infections (e.g., COVID-19), aging and various neurological disorders (e.g., Alzheimer disease). Cranial Nerve Palsies
  • Halitosis Halitosis An offensive, foul breath odor resulting from a variety of causes such as poor oral hygiene, dental or oral infections, or the ingestion of certain foods. Oral Cancer
  • Tos TOS Thoracic outlet syndrome (TOS) is a broad term used for a spectrum of syndromes related to the general region of the thoracic outlet, which involves the compression or irritation of elements of the brachial plexus, subclavian artery, or subclavian vein. Thoracic Outlet Syndrome
  • Otalgia Otalgia Acute Otitis Media, presión, plenitud, pérdida de audición o tinnitus Tinnitus A nonspecific symptom of hearing disorder characterized by the sensation of buzzing, ringing, clicking, pulsations, and other noises in the ear. Objective tinnitus refers to noises generated from within the ear or adjacent structures that can be heard by other individuals. The term subjective tinnitus is used when the sound is audible only to the affected individual. Tinnitus may occur as a manifestation of cochlear diseases; vestibulocochlear nerve diseases; intracranial hypertension; craniocerebral trauma; and other conditions. Cranial Nerve Palsies

Sinusitis Sinusitis Sinusitis refers to inflammation of the mucosal lining of the paranasal sinuses. The condition usually occurs concurrently with inflammation of the nasal mucosa (rhinitis), a condition known as rhinosinusitis. Acute sinusitis is due to an upper respiratory infection caused by a viral, bacterial, or fungal agent. Sinusitis fúngica

La sinusitis Sinusitis Sinusitis refers to inflammation of the mucosal lining of the paranasal sinuses. The condition usually occurs concurrently with inflammation of the nasal mucosa (rhinitis), a condition known as rhinosinusitis. Acute sinusitis is due to an upper respiratory infection caused by a viral, bacterial, or fungal agent. Sinusitis fúngica suele presentarse de forma crónica, con síntomas atípicos ( epistaxis Epistaxis Bleeding from the nose. Granulomatosis with Polyangiitis, disnea y secreciones nasales negras/marrones).

Complicaciones y/o condiciones asociadas

• Otitis media aguda
• Faringitis
• Meningitis Meningitis Meningitis is inflammation of the meninges, the protective membranes of the brain, and spinal cord. The causes of meningitis are varied, with the most common being bacterial or viral infection. The classic presentation of meningitis is a triad of fever, altered mental status, and nuchal rigidity. Meningitis
• Neumonía
• Absceso subperióstico/intracraneal
• Osteomielitis (generalmente del hueso frontal Frontal The bone that forms the frontal aspect of the skull. Its flat part forms the forehead, articulating inferiorly with the nasal bone and the cheek bone on each side of the face. Skull: Anatomy)
• Celulitis preseptal/orbitaria
• Trombosis séptica del seno cavernoso

Diagnóstico

El diagnóstico generalmente se basa en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum los LOS Neisseria síntomas clínicos.

• Sinusitis Sinusitis Sinusitis refers to inflammation of the mucosal lining of the paranasal sinuses. The condition usually occurs concurrently with inflammation of the nasal mucosa (rhinitis), a condition known as rhinosinusitis. Acute sinusitis is due to an upper respiratory infection caused by a viral, bacterial, or fungal agent. Sinusitis no complicada: < 4 semanas de secreción nasal purulenta + obstrucción nasal o dolor Dolor Inflammation/presión/plenitud facial o ambos
• Sinusitis Sinusitis Sinusitis refers to inflammation of the mucosal lining of the paranasal sinuses. The condition usually occurs concurrently with inflammation of the nasal mucosa (rhinitis), a condition known as rhinosinusitis. Acute sinusitis is due to an upper respiratory infection caused by a viral, bacterial, or fungal agent. Sinusitis complicada: cuando los LOS Neisseria signos y síntomas se extienden más allá de los LOS Neisseria senos paranasales y la cavidad nasal, se requiere una evaluación urgente.
  • Signos: cefalea intensa/persistente, cambios en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum la visión, edema Edema Edema is a condition in which excess serous fluid accumulates in the body cavity or interstitial space of connective tissues. Edema is a symptom observed in several medical conditions. It can be categorized into 2 types, namely, peripheral (in the extremities) and internal (in an organ or body cavity). Edema periorbitario, movimientos extraoculares anormales con o sin dolor Dolor Inflammation, alteración del estado mental, signos meníngeos, signos de aumento de la presión intracraneal

Para diferenciar la sinusitis Sinusitis Sinusitis refers to inflammation of the mucosal lining of the paranasal sinuses. The condition usually occurs concurrently with inflammation of the nasal mucosa (rhinitis), a condition known as rhinosinusitis. Acute sinusitis is due to an upper respiratory infection caused by a viral, bacterial, or fungal agent. Sinusitis viral de la sinusitis Sinusitis Sinusitis refers to inflammation of the mucosal lining of the paranasal sinuses. The condition usually occurs concurrently with inflammation of the nasal mucosa (rhinitis), a condition known as rhinosinusitis. Acute sinusitis is due to an upper respiratory infection caused by a viral, bacterial, or fungal agent. Sinusitis bacteriana:

• La rinosinusitis viral se diagnostica clínicamente cuando los LOS Neisseria síntomas duran de 7–10 días y no empeoran.
• La rinosinusitis bacteriana se diagnostica clínicamente cuando los LOS Neisseria síntomas persisten.> 10 días o son de un patrón bifásico (ver “doble empeoramiento”, arriba) y son de naturaleza más severa. Requiere antibióticos para su resolución.

Pruebas de laboratorio

• Indicadas si no se observa una respuesta al AL Amyloidosis tratamiento o hay empeoramiento
• Rara vez se observa leucocitosis.
• Puede ayudar a determinar la causa subyacente:
  • La rinitis alérgica se confirma con una prueba de radioalergoabsorción, prueba cutánea de alérgenos o frotis de secreciones nasales que muestran eosinofilia
  • Prueba de cloruro en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum sudor para fibrosis Fibrosis Any pathological condition where fibrous connective tissue invades any organ, usually as a consequence of inflammation or other injury. Bronchiolitis Obliterans quística

Cultivo

La presencia de más de 10⁴ unidades formadoras de colonias/mL en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum un cultivo bacteriano confirma la sinusitis Sinusitis Sinusitis refers to inflammation of the mucosal lining of the paranasal sinuses. The condition usually occurs concurrently with inflammation of the nasal mucosa (rhinitis), a condition known as rhinosinusitis. Acute sinusitis is due to an upper respiratory infection caused by a viral, bacterial, or fungal agent. Sinusitis bacteriana en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum niños.

Imagenología

• No recomendado a menos que se trate de una sinusitis Sinusitis Sinusitis refers to inflammation of the mucosal lining of the paranasal sinuses. The condition usually occurs concurrently with inflammation of the nasal mucosa (rhinitis), a condition known as rhinosinusitis. Acute sinusitis is due to an upper respiratory infection caused by a viral, bacterial, or fungal agent. Sinusitis complicada
• Las radiografías de cráneo muestran disminución de la transparencia de los LOS Neisseria senos paranasales y los LOS Neisseria niveles hidroaéreos.
• La tomografía computarizada es la modalidad de elección y muestra engrosamiento mucoperióstico, niveles hidroaéreos y extensión a tejidos blandos en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum caso de complicaciones (e.g., celulitis orbitaria).
• La endoscopia nasal se puede utilizar para excluir lesiones estructurales.

Biopsia

Solo se necesita si la infección recurre o si no hay respuesta a diferentes terapias empíricas.

Tratamiento

Atención general de soporte

• Debe administrarse paracetamol paracetamol Acetaminophen is an over-the-counter nonopioid analgesic and antipyretic medication and the most commonly used analgesic worldwide. Despite the widespread use of acetaminophen, its mechanism of action is not entirely understood. Acetaminophen o antiinflamatorios no esteroideos para el dolor Dolor Inflammation facial y, si está presente, para la fiebre.

Sinusitis Sinusitis Sinusitis refers to inflammation of the mucosal lining of the paranasal sinuses. The condition usually occurs concurrently with inflammation of the nasal mucosa (rhinitis), a condition known as rhinosinusitis. Acute sinusitis is due to an upper respiratory infection caused by a viral, bacterial, or fungal agent. Sinusitis viral

• Solo se enfoca en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum proporcionar el alivio sintomático, ya que la sinusitis Sinusitis Sinusitis refers to inflammation of the mucosal lining of the paranasal sinuses. The condition usually occurs concurrently with inflammation of the nasal mucosa (rhinitis), a condition known as rhinosinusitis. Acute sinusitis is due to an upper respiratory infection caused by a viral, bacterial, or fungal agent. Sinusitis viral es autolimitada.
• Lavado nasal con solución hipertónica de NaCl
• Descongestionantes (e.g., aerosol nasal de xilometazolina) o simpaticomiméticos (e.g., pseudoefedrina)
• Antihistamínicos (e.g., loratadina) si hay síntomas de alergia concurrentes
• Esteroides intranasales (e.g., fluticasona) para aliviar la inflamación de la mucosa/ dolor Dolor Inflammation facial
• Los LOS Neisseria mucolíticos (e.g., guaifenesina) pueden diluir las secreciones y promover el drenaje

Sinusitis Sinusitis Sinusitis refers to inflammation of the mucosal lining of the paranasal sinuses. The condition usually occurs concurrently with inflammation of the nasal mucosa (rhinitis), a condition known as rhinosinusitis. Acute sinusitis is due to an upper respiratory infection caused by a viral, bacterial, or fungal agent. Sinusitis bacteriana

• Primera línea: amoxicilina, con o sin clavulanato durante 5–10 días
• Segunda línea:
  • La ceftriaxona IV se usa para niños que no pueden tolerar la medicación oral.
  • La oxiciclina, la levofloxacina o la moxifloxacina se utilizan en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum caso de alergia a la penicilina.
  • Se emplean levofloxacina, moxifloxacina o clindamicina si los LOS Neisseria síntomas persisten > 14 días o si no se observa mejoría dentro de los LOS Neisseria primeros 3 días de tratamiento.
• Sinusitis Sinusitis Sinusitis refers to inflammation of the mucosal lining of the paranasal sinuses. The condition usually occurs concurrently with inflammation of the nasal mucosa (rhinitis), a condition known as rhinosinusitis. Acute sinusitis is due to an upper respiratory infection caused by a viral, bacterial, or fungal agent. Sinusitis bacteriana crónica: aminopenicilina de amplio espectro + inhibidor de la betalactamasa
• No se recomiendan descongestionantes ni antihistamínicos.

Sinusitis Sinusitis Sinusitis refers to inflammation of the mucosal lining of the paranasal sinuses. The condition usually occurs concurrently with inflammation of the nasal mucosa (rhinitis), a condition known as rhinosinusitis. Acute sinusitis is due to an upper respiratory infection caused by a viral, bacterial, or fungal agent. Sinusitis fúngica

• Tratamiento antifúngico (e.g., anfotericina B)
• Tratamiento de condiciones inmunodepresoras (e.g., SIDA, VIH, cáncer, etc ETC The electron transport chain (ETC) sends electrons through a series of proteins, which generate an electrochemical proton gradient that produces energy in the form of adenosine triphosphate (ATP). Electron Transport Chain (ETC).)
• Si la infección es crónica e invasiva, puede requerir el desbridamiento quirúrgico del tejido necrótico.

Relevancia Clínica

Las siguientes son posibles condiciones subyacentes o diagnósticos diferenciales de la sinusitis Sinusitis Sinusitis refers to inflammation of the mucosal lining of the paranasal sinuses. The condition usually occurs concurrently with inflammation of the nasal mucosa (rhinitis), a condition known as rhinosinusitis. Acute sinusitis is due to an upper respiratory infection caused by a viral, bacterial, or fungal agent. Sinusitis:

• Fibrosis Fibrosis Any pathological condition where fibrous connective tissue invades any organ, usually as a consequence of inflammation or other injury. Bronchiolitis Obliterans quística: un trastorno autosómico recesivo causado por la mutación del gen CFTR, que produce canales de cloro defectuosos e hiperviscosidad de las secreciones de las glándulas exocrinas
• Discinesia ciliar primaria: una enfermedad autosómica recesiva asociada con sinusitis Sinusitis Sinusitis refers to inflammation of the mucosal lining of the paranasal sinuses. The condition usually occurs concurrently with inflammation of the nasal mucosa (rhinitis), a condition known as rhinosinusitis. Acute sinusitis is due to an upper respiratory infection caused by a viral, bacterial, or fungal agent. Sinusitis, situs inversus, infecciones respiratorias recurrentes y bronquiectasias, entre otras anomalías
• Absceso dental: acumulación de pus en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum la pulpa de un diente que puede extenderse a estructuras locales o regionales, incluidas las encías, los LOS Neisseria huesos faciales, la lengua y los LOS Neisseria músculos faciales
• Cuerpo extraño nasal: común en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum niños <5 años. A menudo se trata de artículos de comida o pequeños juguetes. Se presenta con rinorrea unilateral que puede tornarse maloliente o purulenta, con signos de obstrucción nasal o con epistaxis Epistaxis Bleeding from the nose. Granulomatosis with Polyangiitis
• Migraña: un tipo de cefalea que se caracteriza por episodios recurrentes y debilitantes que suelen ser unilaterales, punzantes y/o pulsátiles; frecuentemente están acompañados de náuseas, vómitos y sensibilidad a la luz y al AL Amyloidosis sonido.
• Rinitis: inflamación de la mucosa nasal, clasificada como alérgica, no alérgica e infecciosa
• Asma ASMA Autoimmune Hepatitis: enfermedad inflamatoria crónica del sistema respiratorio caracterizada por hiperreactividad bronquial, exacerbación episódica y obstrucción reversible del flujo de aire.
• Otitis media: infección del oído medio que generalmente sigue a una infección del tracto respiratorio superior en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum niños< 5 años de edad. Más comúnmente causada por S. pneumoniae. Se presenta con otalgia Otalgia Acute Otitis Media y fiebre. El examen muestra una membrana timpánica abultada.
• Granulomatosis con poliangeítis: una vasculitis Vasculitis Inflammation of any one of the blood vessels, including the arteries; veins; and rest of the vasculature system in the body. Systemic Lupus Erythematosus asociada a anticuerpos anticitoplasma de neutrófilos que conduce a la inflamación de los LOS Neisseria vasos sanguíneos de tamaño pequeño y mediano. Resulta en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum daño a varios sistemas de órganos del cuerpo, con mayor frecuencia el tracto respiratorio y los LOS Neisseria riñones.

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