How's this lay-man's ****ysis. (allergic virus bacteria sinusitis)
The plural of "virus" is "viruses."
I would say, "a condition initiated by allergens MAY be alleviated by
antibiotics."
It is possible and actually a common occurrence for people with
chronic allergic rhinitis to develop secondary sinusitis, not just
because of the "culture mat," but because mucosal edema impedes normal
sinus drainage. Normal ciliary action of the upper respiratory mucosa
draws bacteria out of the sinus cavities under normal cir***stances.
However, it can be difficult to distinguish who has a secondary
infection and who doesn't. Neither the presence of sinus tenderness, a
particular nature of discharge, facial edema, nor particular findings
on sinus X-rays or CT scans are diagnostic.
I often will treat for secondary sinusitis in a patient with chronic
allergic rhinitis when (1) I suspect sinusitis clinically and
treatment for allergic rhinitis alone has not been effective, or (2)
there has been several weeks of acutely worse symptoms above baseline
along with clinical signs of sinusitis.
PF
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