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Case Report

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Acute isolated sphenoid sinusitis in a 4-year-old child: a rare case with an atypical presentation


1,Paediatric Department Giannitsa General Hospital

2ICU, Hippokrteion General Hospital

DOI: 10.22514/SV31.042008.8 Vol.3,Issue 1,April 2008 pp.51-54

Published: 01 April 2008

*Corresponding Author(s): CONSTANTINE KATSANOULAS E-mail:


Acute, isolated, sphenoid sinusitis is unusual, especially in children. Its incidence is about 2.7% of all sinus infections and is even rarer in children under the age of six years. It is frequently misdiagnosed because of its atypical presentation and it can cause serious complications because of the sphenoid sinus’ anatomical relations with many intracranial structures. We report a case of a previously healthy 4 year old boy, whose sole symptom at presentation was drowsiness. Physical examination and initial laboratory investigations were normal. Diagnosis was made after computed tomography of the head revealed left sphenoiditis. Although under treatment, the child manifested meningism during the first day of hospitalization, which subsided the next day. He was treated with ceftriaxone plus clindamycin and had a good outcome, without compli-cations or neurological sequelae.  


sphenoiditis, intracranial complications, children

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AIKATERINI MONTI,CONSTANTINE KATSANOULAS,MARIA FARINI. Acute isolated sphenoid sinusitis in a 4-year-old child: a rare case with an atypical presentation. Signa Vitae. 2008. 3(1);51-54.


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