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A 54-year-old male with 6 months of right-sided nasal obstruction, cheek pressure, and yellow to green foul-smelling anterior and posterior nasal drainage

No other complaints

22-item Sino-Nasal Outcome Test (SNOT-22) result: 16

He has had three 2-week courses of augmentin (875 mg twice per day [BID]) based on an outside sinus culture demonstrating methicillin-sensitive Staphylococcus aureus (MSSA); each course gave temporary relief.

Past medical history (PMH), past surgical history (PSH), social history (SH), family history (FH): none

Sinus computed tomography (CT) scan and nasal endoscopy are performed.


Please use the discussion feature below to ask the authors your questions and provide further feedback on others’ questions. All questions and replies are moderated.


  1. Dr Ashwini Kumar Verma

    What’s the findings of CT SCAN PARANASAL SINUSES, blood sugar Status, HIV status.

  2. Gustavo Rezende

    The case presentation was amazing! But the CT image was rotated 180o degree?



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