Rapidly Progressive Complicated Acute Bacterial Sinusitis in the Setting of Severe Pediatric SARS-CoV-2 Infection

xlomafota13 shared this article with you from Inoreader Rapidly Progressive Complicated Acute Bacterial Sinusitis in the Setting of Severe Pediatric SARS-CoV-2 Infection Via otol rhinol Ann Otol Rhinol Laryngol. 2021 Oct 27:34894211055337. doi: 10.1177/00034894211055337. Online ahead of print. ABSTRACT OBJECTIVE: This case report presents a case of a rapidly progressive complicated sinus infection in a child with the multisystem inflammatory syndrome in children. METHODS: Case report with literature review. RESULTS/CASE REPORT: We present a novel case of severe rapidly progressive complicated sinusitis in a 14-year-old African American male diag nosed with the multisystem inflammatory syndrome in children. Infection was caused by an aggressive pathogen, Streptococcus intermedius (anginosus), and within 48 hours progressed to orbital, subgaleal, and intracranial abscess, requiring multidisciplinary intervention by ophthalmology, neurosurgery, and otolaryngology. Following surgical intervention and a 4-week course of intravenous antibiotic therapy, the patient had resolution of the infection with no neurologic sequelae. CONCLUSION: Despite the low incidence of multisystem inflammatory syndrome in children, physicians should be aware that immunologic changes and the cytokine storm induced by severe acute respiratory syndrome coronavirus 2 can potentially predispose patients to severe bacterial or opportunistic infections. As more cases of MIS-C develop, associated complications can become evident. Similar cases of SARS-CoV-2 and severe bacterial sinusitis have been published in the literature, but it remains unclear if t here is an association between SARS-CoV-2 disease and an increased risk of complicated sinusitis in children. PMID:34706569 | DOI:10.1177/00034894211055337 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.