Acute rhinosinusitis during the swimming season - etiopathogenesis, diagnostic approaches and treatment
Sergiy Michailovich Pukhlik, Oleg Federovich Melnicov, Anatoly Petrovich Shchelkunov, Olga Valentinovna Titarenko
JHS 2011; 1(3): OA30-37
Background: A significant increase of acute rhinosinusitis, mainly maxilloethmoiditis, occurs during the summer season in Ukrainian resort areas, particularly in Odessa.
Material and Methods: 106 patients with acute “bathing” rhinosinusitis (ABRS) were examined in terms of microbiology, immunology, and allergy during 3 summers (2008–2010). The control group consisted of 51 patients who developed acute purulent rhinosinusitis during the “nonbathing” season.
Results: In the case of ABRS, fungi and mycotoxins were found to damage the mucous membranes of the nose and paranasal sinuses, making ABRS aggressive and fast. It occurred against a background of lowered immunity and sensitization.
Conclusions: Traditional therapy for ABRS can quickly eliminate inflammation, but sensitization to mold remains high, leaving the possibility of re-development of inflammation. Incorporation of interferon inducers and anti-allergy agents substantially improves clinical and immunological indices of treatment efficacy.
Keywords: Acute “bathing” rhinosinusitis, diagnosis, treatment.
Keywords: acute purulent rhinosinusitis, fungal flora, treatment