Abstract
A nine-year-old child was brought to the emergency room by her mother because of an upper respiratory infection symptoms and forehead swelling. The patient was seen by the emergency department physician and diagnosed with an upper respiratory infection; the forehead swelling was felt to be related to forceful coughing. The patient and patient’s mother returned on a second visit because the forehead swelling had not improved. A CT scan of the head was subsequently done which demonstrated pansinusitis.
Highlights
Sinusitis is one of the most common infections in children and adults
Antibiotics are recommended for bacterial sinusitis [4]
Endoscopic nasal surgery aims to remove particles blocking the nasal passages, and is recommended for cases of sinusitis that have worsened the effects due to nasal polyps [8]
Summary
Sinusitis is one of the most common infections in children and adults. It is a mucosal inflammation of the sinuses and paranasal sinuses lasting up to three to four weeks [1]. The ED physician diagnosed her with a URI with etiology being most likely viral, but because the symptoms lasted a couple of weeks, the patient was provided trimethoprim/sulfamethoxazole (TMP-SMX) and prednisolone. The patient continued to take the antibiotics and noticed her URI symptoms subsided, but the protrusion in her forehead did not. The patient’s head had a large cystic-like protrusion in the mid forehead. She was neurologically intact, without motor or sensory deficits, cranial nerves 2-12 were intact, and reflexes were equal bilaterally with no cerebellar deficits. The patient was discharged home after seeing the otorhinolaryngology consult in the ED
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