• J Laryngol Otol · Aug 2008

    Significance of Streptococcus milleri in acute rhinosinusitis with complications.

    • N M Rankhethoa and C A J Prescott.
    • Division of Otolaryngology, Groote Schuur Hospital, Observatory, Cape Town, South Africa. nrankhet@absamail.co.za
    • J Laryngol Otol. 2008 Aug 1; 122 (8): 810-3.

    ObjectivesTo assess the significance of Streptococcus milleri in acute rhinosinusitis with complications.MethodsA retrospective case note review was undertaken of in-patients at both the Red Cross Children's Hopital and the Groote Schuur Hospital (for adults), Cape Town, South Africa, between 1999 and 2003, with a diagnosis of acute rhinosinusitis with complications. The following were documented: age, gender, complications, organisms cultured and their sensitivity, type and number of operations, and length of hospital stay.ResultsSeventy-one case notes were reviewed, for 30 female and 41 male patients, representing 38 adults and 33 children. Streptococcus milleri was the most commonly implicated organism (52.1 per cent; 37/71). Patients from whom this organism was isolated tended to require more than one operative procedure, and had a protracted hospital stay.

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