| A Clinical Observation on Maxillary Sinusitis with Asocated Chronic Cough in Children. |
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Sun Jong Kim, Jee Sung Kim, Byung Hak Lim, Im Ju Kang |
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Department of Pediatrics, Fatima Hospital, Dae Gu, Korea |
| 만성 기침 환아에서 상악동염에 관한 임상적 고찰 |
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김순종, 김지성, 임병학, 강임주 |
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대구파티마병원 소아과 |
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| Abstract |
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From October 1984 to June 1985, 115 children aged 3 to 15 years with one month or more
history of recurrent or persistent cough and a water’s sinus radiograph presenting greater
than 6 mm mucosal thickening or opacification or air fluid level in one or both maxillary
sinuses were analyzed & following results were obtained. 1)Most cases were aged 3 to 8 years(84%).
2)Sex ratio of male to female was 1.6:1. 3)The observed main clinical symptoms and sign were nasal discharge(55.1%) nasalobstruction(42.8%) & fever(42.8%). 4) Differential eosinophil counts over 5% was 11.2% and IgE level over 200lU/ml was 26.6%. 5) The initial Water’s radiographic view demonstrated the following abnormalities：a) mucosal thickening(37.8%), b) opacification(57.1%), c) air fluid level(5.1%). 6) Symptom of nasal obstruction was commonly seen in those witn X-ray change of opacification.
7) At end of 2 weeks of antibiotics treatment, radogaphically improved cases demonstrated the following results:
Amoxicllin(72.5%), Ampicillin(45.2%), Trimethoprim Sulfamethoxazole(60%), Erythromycin (14.2%).
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| Key Words:
Chronic cough, Water’s X-ray, Amoxicillin. |
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