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Recurrent facial pain due to Pseudomonas aeruginosa sinusitis
Vasilis Danielides1, Christina-Sophia Nousia, Eleni Gesouli
1Department of Otorhinolaryngology, Medical School, University of Ioannina, Ioannina, Greece. vdanielidis@hotmail.com
Abstract:
Pseudomonas (P) aeruginosa has been rarely reported as a causative agent of chronic sinusitis in otherwise healthy individuals, mostly as part of polymicrobial infections, while it has been frequently described among immunocompromised patients. We report a case of chronic maxillary sinustitis due to P. aeruginosa presenting as recurrent facial pain in a previously healthy middle-aged woman. Bacteriological diagnosis was established by tissue cultures and definitive treatment was achieved by surgical intervention and postoperative antibiotic treatment along with topical care.
Insights
Pseudomonas aeruginosa, a rare cause of chronic sinusitis in healthy individuals, was identified in a case of recurrent facial pain. Treatment involved surgery, antibiotics, and topical care for this maxillary sinusitis.
Area of Science:
- Otolaryngology
- Infectious Diseases
- Microbiology
Background:
- Pseudomonas aeruginosa is infrequently implicated in chronic sinusitis among healthy individuals, typically within polymicrobial infections.
- This bacterium is more commonly associated with sinusitis in immunocompromised patients.
Observation:
- A case of chronic maxillary sinusitis caused by Pseudomonas aeruginosa is presented.
- The patient was a previously healthy middle-aged woman experiencing recurrent facial pain.
Findings:
- Bacteriological diagnosis was confirmed through tissue cultures.
- Successful treatment was achieved via surgical intervention, followed by a course of postoperative antibiotics and topical care.
Implications:
- This case highlights Pseudomonas aeruginosa as a potential pathogen in chronic maxillary sinusitis, even in immunocompetent individuals.
- It underscores the importance of comprehensive bacteriological diagnosis and tailored treatment strategies, including surgical and antibiotic approaches, for refractory sinonasal infections.