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Sinusitis in the common cold

Background: Acute community-acquired sinusitis is considered a bacterial complication of the common cold. Radiologic abnormalities in sinuses occur, however, in most patients with upper respiratory virus infections. Objective: Assessment of the occurrence, clinical profile, laboratory findings, and... Full description

Journal Title: Journal of allergy and clinical immunology 1998, Vol.102 (3), p.403-408
Main Author: Puhakka, Tuomo
Other Authors: Mäkelä, Mika J , Alanen, Anu , Kallio, Timo , Korsoff, Leo , Arstila, Pertti , Leinonen, Maija , Pulkkinen, Markku , Suonpää, Jouko , Mertsola, Jussi , Ruuskanen, Olli
Format: Electronic Article Electronic Article
Language: English
Subjects:
Quelle: Alma/SFX Local Collection
Publisher: New York, NY: Mosby, Inc
ID: ISSN: 0091-6749
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recordid: cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7112288
title: Sinusitis in the common cold
format: Article
creator:
  • Puhakka, Tuomo
  • Mäkelä, Mika J
  • Alanen, Anu
  • Kallio, Timo
  • Korsoff, Leo
  • Arstila, Pertti
  • Leinonen, Maija
  • Pulkkinen, Markku
  • Suonpää, Jouko
  • Mertsola, Jussi
  • Ruuskanen, Olli
subjects:
  • Abridged Index Medicus
  • Adult
  • Analysis
  • Androstadienes - therapeutic use
  • Anti-Allergic Agents - therapeutic use
  • Anti-Inflammatory Agents - therapeutic use
  • Article
  • Biological and medical sciences
  • Blood
  • Blood Sedimentation
  • C-reactive protein
  • C-Reactive Protein - metabolism
  • cold
  • Cold (Disease)
  • common cold
  • Common Cold - complications
  • Common Cold - drug therapy
  • Common Cold - etiology
  • Community-Acquired Infections - etiology
  • Community-Acquired Infections - prevention & control
  • CRP:, Serum C reactive protein
  • Ent. Stomatology
  • Erythrocyte sedimentation rate
  • ESR:, Erythrocyte sedimentation rate
  • Female
  • Fluticasone
  • fluticasone propionate
  • FP:, Fluticasone propionate
  • Health aspects
  • Humans
  • Leukocyte Count
  • Male
  • Medical examination
  • Medical sciences
  • Nasopharyngeal aspirate
  • NPA:, Nasopharyngeal aspirate
  • Paranasal Sinuses - diagnostic imaging
  • paranasal sinusitis
  • Pharmacology. Drug treatments
  • Propionates
  • Radiography
  • rhinovirus
  • Sedimentation
  • Serum C reactive protein
  • Sinusitis
  • Sinusitis - etiology
  • Sinusitis - prevention & control
  • Treatment Outcome
  • viral respiratory infection
  • viral sinusitis
  • Virus diseases
  • WBC:, White blood cell count
  • White blood cell count
ispartof: Journal of allergy and clinical immunology, 1998, Vol.102 (3), p.403-408
description: Background: Acute community-acquired sinusitis is considered a bacterial complication of the common cold. Radiologic abnormalities in sinuses occur, however, in most patients with upper respiratory virus infections. Objective: Assessment of the occurrence, clinical profile, laboratory findings, and outcome of radiologically confirmed sinusitis was carried out as part of a common cold study in young adults. Methods: Clinical examinations and radiography of the paranasal sinuses were carried out on days 1, 7, and 21 in 197 patients with the common cold. The symptoms were recorded on diary cards on days 1 to 20. Ten viruses and 5 bacteria were studied as etiologic agents of common cold as reported earlier. Serum C reactive protein concentrations, erythrocyte sedimentation rates, and total white blood cell counts with differentials were determined in 40 randomized subjects on day 7. The effect of 6 days of intranasal fluticasone propionate treatment of the common cold in the prevention of sinusitis was analyzed. Results: On day 7, 39% of patients with the common cold in the placebo group ( n = 98) had sinusitis, which we would prefer to call viral sinusitis. The symptoms of patients with sinusitis and those without it were not clinically distinguishable. Viral infection was detected in 81.6% of patients with sinusitis. No significantly increased levels of antibodies to bacteria were detected. Serum C reactive protein concentrations, erythrocyte sedimentation rates, and white blood cell counts were low in patients with sinusitis. All patients made a clinical recovery within 21 days without antibiotic treatment. Fluticasone propionate treatment tended to prevent paranasal sinusitis, especially in rhinovirus-positive subjects. Conclusion: Viral sinusitis frequently occurs in the early days of the common cold, but it is a self-limited illness. The sinuses should not be imaged in patients with the common cold if the signs and symptoms of illness gradually become less severe and no specific signs suggestive of bacterial sinusitis occur. (J Allergy Clin Immunol 1998;102:403-8.)
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0091-6749
fulltext: fulltext
issn:
  • 0091-6749
  • 1097-6825
url: Link


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titleSinusitis in the common cold
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creatorPuhakka, Tuomo ; Mäkelä, Mika J ; Alanen, Anu ; Kallio, Timo ; Korsoff, Leo ; Arstila, Pertti ; Leinonen, Maija ; Pulkkinen, Markku ; Suonpää, Jouko ; Mertsola, Jussi ; Ruuskanen, Olli
creatorcontribPuhakka, Tuomo ; Mäkelä, Mika J ; Alanen, Anu ; Kallio, Timo ; Korsoff, Leo ; Arstila, Pertti ; Leinonen, Maija ; Pulkkinen, Markku ; Suonpää, Jouko ; Mertsola, Jussi ; Ruuskanen, Olli
descriptionBackground: Acute community-acquired sinusitis is considered a bacterial complication of the common cold. Radiologic abnormalities in sinuses occur, however, in most patients with upper respiratory virus infections. Objective: Assessment of the occurrence, clinical profile, laboratory findings, and outcome of radiologically confirmed sinusitis was carried out as part of a common cold study in young adults. Methods: Clinical examinations and radiography of the paranasal sinuses were carried out on days 1, 7, and 21 in 197 patients with the common cold. The symptoms were recorded on diary cards on days 1 to 20. Ten viruses and 5 bacteria were studied as etiologic agents of common cold as reported earlier. Serum C reactive protein concentrations, erythrocyte sedimentation rates, and total white blood cell counts with differentials were determined in 40 randomized subjects on day 7. The effect of 6 days of intranasal fluticasone propionate treatment of the common cold in the prevention of sinusitis was analyzed. Results: On day 7, 39% of patients with the common cold in the placebo group ( n = 98) had sinusitis, which we would prefer to call viral sinusitis. The symptoms of patients with sinusitis and those without it were not clinically distinguishable. Viral infection was detected in 81.6% of patients with sinusitis. No significantly increased levels of antibodies to bacteria were detected. Serum C reactive protein concentrations, erythrocyte sedimentation rates, and white blood cell counts were low in patients with sinusitis. All patients made a clinical recovery within 21 days without antibiotic treatment. Fluticasone propionate treatment tended to prevent paranasal sinusitis, especially in rhinovirus-positive subjects. Conclusion: Viral sinusitis frequently occurs in the early days of the common cold, but it is a self-limited illness. The sinuses should not be imaged in patients with the common cold if the signs and symptoms of illness gradually become less severe and no specific signs suggestive of bacterial sinusitis occur. (J Allergy Clin Immunol 1998;102:403-8.)
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0ISSN: 0091-6749
1EISSN: 1097-6825
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3PMID: 9768580
4CODEN: JACIBY
languageeng
publisherNew York, NY: Mosby, Inc
subjectAbridged Index Medicus ; Adult ; Analysis ; Androstadienes - therapeutic use ; Anti-Allergic Agents - therapeutic use ; Anti-Inflammatory Agents - therapeutic use ; Article ; Biological and medical sciences ; Blood ; Blood Sedimentation ; C-reactive protein ; C-Reactive Protein - metabolism ; cold ; Cold (Disease) ; common cold ; Common Cold - complications ; Common Cold - drug therapy ; Common Cold - etiology ; Community-Acquired Infections - etiology ; Community-Acquired Infections - prevention & control ; CRP:, Serum C reactive protein ; Ent. Stomatology ; Erythrocyte sedimentation rate ; ESR:, Erythrocyte sedimentation rate ; Female ; Fluticasone ; fluticasone propionate ; FP:, Fluticasone propionate ; Health aspects ; Humans ; Leukocyte Count ; Male ; Medical examination ; Medical sciences ; Nasopharyngeal aspirate ; NPA:, Nasopharyngeal aspirate ; Paranasal Sinuses - diagnostic imaging ; paranasal sinusitis ; Pharmacology. Drug treatments ; Propionates ; Radiography ; rhinovirus ; Sedimentation ; Serum C reactive protein ; Sinusitis ; Sinusitis - etiology ; Sinusitis - prevention & control ; Treatment Outcome ; viral respiratory infection ; viral sinusitis ; Virus diseases ; WBC:, White blood cell count ; White blood cell count
ispartofJournal of allergy and clinical immunology, 1998, Vol.102 (3), p.403-408
rights
01998 Mosby, Inc.
11998 INIST-CNRS
2COPYRIGHT 1998 Elsevier B.V.
3Copyright © 1998 Mosby, Inc. All rights reserved. 1998 Mosby, Inc.
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0Puhakka, Tuomo
1Mäkelä, Mika J
2Alanen, Anu
3Kallio, Timo
4Korsoff, Leo
5Arstila, Pertti
6Leinonen, Maija
7Pulkkinen, Markku
8Suonpää, Jouko
9Mertsola, Jussi
10Ruuskanen, Olli
title
0Sinusitis in the common cold
1Journal of allergy and clinical immunology
addtitleJ Allergy Clin Immunol
descriptionBackground: Acute community-acquired sinusitis is considered a bacterial complication of the common cold. Radiologic abnormalities in sinuses occur, however, in most patients with upper respiratory virus infections. Objective: Assessment of the occurrence, clinical profile, laboratory findings, and outcome of radiologically confirmed sinusitis was carried out as part of a common cold study in young adults. Methods: Clinical examinations and radiography of the paranasal sinuses were carried out on days 1, 7, and 21 in 197 patients with the common cold. The symptoms were recorded on diary cards on days 1 to 20. Ten viruses and 5 bacteria were studied as etiologic agents of common cold as reported earlier. Serum C reactive protein concentrations, erythrocyte sedimentation rates, and total white blood cell counts with differentials were determined in 40 randomized subjects on day 7. The effect of 6 days of intranasal fluticasone propionate treatment of the common cold in the prevention of sinusitis was analyzed. Results: On day 7, 39% of patients with the common cold in the placebo group ( n = 98) had sinusitis, which we would prefer to call viral sinusitis. The symptoms of patients with sinusitis and those without it were not clinically distinguishable. Viral infection was detected in 81.6% of patients with sinusitis. No significantly increased levels of antibodies to bacteria were detected. Serum C reactive protein concentrations, erythrocyte sedimentation rates, and white blood cell counts were low in patients with sinusitis. All patients made a clinical recovery within 21 days without antibiotic treatment. Fluticasone propionate treatment tended to prevent paranasal sinusitis, especially in rhinovirus-positive subjects. Conclusion: Viral sinusitis frequently occurs in the early days of the common cold, but it is a self-limited illness. The sinuses should not be imaged in patients with the common cold if the signs and symptoms of illness gradually become less severe and no specific signs suggestive of bacterial sinusitis occur. (J Allergy Clin Immunol 1998;102:403-8.)
subject
0Abridged Index Medicus
1Adult
2Analysis
3Androstadienes - therapeutic use
4Anti-Allergic Agents - therapeutic use
5Anti-Inflammatory Agents - therapeutic use
6Article
7Biological and medical sciences
8Blood
9Blood Sedimentation
10C-reactive protein
11C-Reactive Protein - metabolism
12cold
13Cold (Disease)
14common cold
15Common Cold - complications
16Common Cold - drug therapy
17Common Cold - etiology
18Community-Acquired Infections - etiology
19Community-Acquired Infections - prevention & control
20CRP:, Serum C reactive protein
21Ent. Stomatology
22Erythrocyte sedimentation rate
23ESR:, Erythrocyte sedimentation rate
24Female
25Fluticasone
26fluticasone propionate
27FP:, Fluticasone propionate
28Health aspects
29Humans
30Leukocyte Count
31Male
32Medical examination
33Medical sciences
34Nasopharyngeal aspirate
35NPA:, Nasopharyngeal aspirate
36Paranasal Sinuses - diagnostic imaging
37paranasal sinusitis
38Pharmacology. Drug treatments
39Propionates
40Radiography
41rhinovirus
42Sedimentation
43Serum C reactive protein
44Sinusitis
45Sinusitis - etiology
46Sinusitis - prevention & control
47Treatment Outcome
48viral respiratory infection
49viral sinusitis
50Virus diseases
51WBC:, White blood cell count
52White blood cell count
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1Mäkelä, Mika J
2Alanen, Anu
3Kallio, Timo
4Korsoff, Leo
5Arstila, Pertti
6Leinonen, Maija
7Pulkkinen, Markku
8Suonpää, Jouko
9Mertsola, Jussi
10Ruuskanen, Olli
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titleSinusitis in the common cold
authorPuhakka, Tuomo ; Mäkelä, Mika J ; Alanen, Anu ; Kallio, Timo ; Korsoff, Leo ; Arstila, Pertti ; Leinonen, Maija ; Pulkkinen, Markku ; Suonpää, Jouko ; Mertsola, Jussi ; Ruuskanen, Olli
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0Abridged Index Medicus
1Adult
2Analysis
3Androstadienes - therapeutic use
4Anti-Allergic Agents - therapeutic use
5Anti-Inflammatory Agents - therapeutic use
6Article
7Biological and medical sciences
8Blood
9Blood Sedimentation
10C-reactive protein
11C-Reactive Protein - metabolism
12cold
13Cold (Disease)
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15Common Cold - complications
16Common Cold - drug therapy
17Common Cold - etiology
18Community-Acquired Infections - etiology
19Community-Acquired Infections - prevention & control
20CRP:, Serum C reactive protein
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22Erythrocyte sedimentation rate
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25Fluticasone
26fluticasone propionate
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45Sinusitis - etiology
46Sinusitis - prevention & control
47Treatment Outcome
48viral respiratory infection
49viral sinusitis
50Virus diseases
51WBC:, White blood cell count
52White blood cell count
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2Alanen, Anu
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7Pulkkinen, Markku
8Suonpää, Jouko
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atitleSinusitis in the common cold
jtitleJournal of allergy and clinical immunology
addtitleJ Allergy Clin Immunol
date1998
risdate1998
volume102
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pages403-408
issn0091-6749
eissn1097-6825
codenJACIBY
abstractBackground: Acute community-acquired sinusitis is considered a bacterial complication of the common cold. Radiologic abnormalities in sinuses occur, however, in most patients with upper respiratory virus infections. Objective: Assessment of the occurrence, clinical profile, laboratory findings, and outcome of radiologically confirmed sinusitis was carried out as part of a common cold study in young adults. Methods: Clinical examinations and radiography of the paranasal sinuses were carried out on days 1, 7, and 21 in 197 patients with the common cold. The symptoms were recorded on diary cards on days 1 to 20. Ten viruses and 5 bacteria were studied as etiologic agents of common cold as reported earlier. Serum C reactive protein concentrations, erythrocyte sedimentation rates, and total white blood cell counts with differentials were determined in 40 randomized subjects on day 7. The effect of 6 days of intranasal fluticasone propionate treatment of the common cold in the prevention of sinusitis was analyzed. Results: On day 7, 39% of patients with the common cold in the placebo group ( n = 98) had sinusitis, which we would prefer to call viral sinusitis. The symptoms of patients with sinusitis and those without it were not clinically distinguishable. Viral infection was detected in 81.6% of patients with sinusitis. No significantly increased levels of antibodies to bacteria were detected. Serum C reactive protein concentrations, erythrocyte sedimentation rates, and white blood cell counts were low in patients with sinusitis. All patients made a clinical recovery within 21 days without antibiotic treatment. Fluticasone propionate treatment tended to prevent paranasal sinusitis, especially in rhinovirus-positive subjects. Conclusion: Viral sinusitis frequently occurs in the early days of the common cold, but it is a self-limited illness. The sinuses should not be imaged in patients with the common cold if the signs and symptoms of illness gradually become less severe and no specific signs suggestive of bacterial sinusitis occur. (J Allergy Clin Immunol 1998;102:403-8.)
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