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Vol. 39. Issue 6.
Pages 391 (August - September 2015)
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Vol. 39. Issue 6.
Pages 391 (August - September 2015)
Images in Intensive Medicine
DOI: 10.1016/j.medin.2015.03.001
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Maxillary sinusitis diagnosed by ultrasound
Sinusitis maxilar diagnosticada por ecografía
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P. Blancoa,
Corresponding author
ohtusabes@gmail.com

Corresponding author.
, J.L. Do Picoa, R. Ciottab
a Intensive Care Unit, Hospital Dr. Emilio Ferreyra, Necochea 7630, Argentina
b Department of Otorhinolaryngology, Hospital Dr. Emilio Ferreyra, Necochea 7630, Argentina
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A 65-year-old male patient with history of alcohol dependence was admitted to the ICU twenty-five days before suffering from aspiration pneumonia and severe acute respiratory distress syndrome. He had an orotracheal tube in place and was nourished through an enteral feeding tube inserted through his left nostril. The patient presented new febrile episodes and an abundant postnasal purulent discharge. Due to the raising suspicion of sinusitis, an ultrasound of both maxillary sinuses was performed and revealed a well-defined hyperechoic walls of the right maxillary sinus (Fig. 1), compatible with sinusitis, and a normal air artifact on the left side (Fig. 2). Transcanine puncture of the right maxillary sinus obtained a hemopurulent exudate, with culture results positive for Candida albicans and Pseudomonas aeruginosa.

Fig. 1.

Right maxillary sinus ultrasound, phased-array probe, demonstrating a well-defined hyperechoic walls of the right maxillary sinus (arrows). This sign is denominated “complete sinusogram”.

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Fig. 2.

Comparative maxillary sinuses ultrasound, phased-array probe, right (a) and left (b), demonstrating a complete sinusogram on the right in contrast with a normal air-artifact without visualization of the sinus walls on the left. Asterisks: maxillary sinuses.

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Conflict of interest

The authors declare no conflict of interest.

Acknowledgement

The authors would like to thank Mrs. Celeste Bruno for the language guidance.

Copyright © 2015. Elsevier España, S.L.U. and SEMICYUC
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Medicina Intensiva (English Edition)

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