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J Pediatr Infect Dis 2024; 19(06): 345-353
DOI: 10.1055/s-0044-1791962
Original Article

Evaluation of Clinical and Laboratory Findings of Sinusitis Complications in Children

Arife Melike Bulut Karakuş 
1   Department of Pediatrics, Selcuk University Faculty of Medicine, Konya, Turkey
,
Gülsüm Alkan 
2   Division of Pediatric Infectious Diseases, Department of Pediatrics, Selcuk University Faculty of Medicine, Konya, Turkey
,
Melike Emiroglu 
2   Division of Pediatric Infectious Diseases, Department of Pediatrics, Selcuk University Faculty of Medicine, Konya, Turkey
,
Şadiye Kübra Tüter Öz 
2   Division of Pediatric Infectious Diseases, Department of Pediatrics, Selcuk University Faculty of Medicine, Konya, Turkey
,
Mehmet Öztürk 
3   Department of Pediatric Radiology, Selcuk University Faculty of Medicine, Konya, Turkey
,
Muhammet Fatih Gökmen 
4   Department of Otolaryngology, Selcuk University Faculty of Medicine, Konya, Turkey
,
Mert Sahinoglu 
5   Department of Neurosurgery, Selcuk University Faculty of Medicine, Konya, Turkey
,
Meltem Kıymaz 
2   Division of Pediatric Infectious Diseases, Department of Pediatrics, Selcuk University Faculty of Medicine, Konya, Turkey
,
Büşra Özyalvaç 
2   Division of Pediatric Infectious Diseases, Department of Pediatrics, Selcuk University Faculty of Medicine, Konya, Turkey
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Abstract

Objective This retrospective study evaluates the demographic characteristics, clinical symptoms, laboratory results, treatment approaches, and outcomes of children with complications arising from bacterial sinusitis.

Methods Fifty-four pediatric inpatients with sinusitis complications admitted between September 2013 and October 2022 were included in the study. These patients were categorized into two groups: those with preseptal cellulitis (group 1) and those with orbital–intracranial complications (group 2).

Results The median age of the patients was 10.8 years, and 61.1% were males. Maxillary sinusitis (n = 40.74%) was the most common type of sinus involvement. Half of the patients exhibited preseptal cellulitis. The median age of our patients with intracranial complications was 13.7 years, while the median age of patients with orbital complications was 8 years. The predominant orbital–intracranial complication was meningitis, which accounted for 41% of the cases. All patients with a subdural abscess (n = 6) presented with frontal sinusitis, while all cases of cavernous sinus thrombosis (n = 3) involved the sphenoidal sinus. Surgical intervention was undertaken in 37% of cases. Streptococcus pneumoniae was the most frequently isolated microorganism. The median duration of hospital stay was 14 days, with a total median treatment duration of 21 days. There were no fatalities, although neurological sequelae were observed in 7.4% of patients (n = 4).

Conclusion Preseptal cellulitis and meningitis remain the most common complications of sinusitis in children. Adolescents with sinusitis should be monitored closely for intracranial complications. The prevalence of S. pneumoniae as the most frequently detected pathogen underscores the importance of vaccination.

Keywords

sinusitis - cellulitis - meningitis - orbital abscess

Note

This article was produced from the specialty thesis titled “Evaluation of Clinical and Laboratory Findings of Sinusitis Complications in Children.” The thesis was written by Arife Melike Bulut Karakuş under the consultancy of Gülsüm Alkan.




Publication History

Received: 24 May 2024

Accepted: 26 September 2024

Article published online:
04 November 2024

© 2024. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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