PT - JOURNAL ARTICLE AU - Rimal, D AU - Hashmi, S M AU - Prinsley, P R TI - An unusual presentation of sphenoid sinusitis with septicaemia in a healthy young adult AID - 10.1136/emj.2005.033340 DP - 2006 Jun 01 TA - Emergency Medicine Journal PG - e36--e36 VI - 23 IP - 6 4099 - http://emj.bmj.com/content/23/6/e36.short 4100 - http://emj.bmj.com/content/23/6/e36.full SO - Emerg Med J2006 Jun 01; 23 AB - Streptococcus pneumonia and Haemophilus influenzae account for more than 50% of bacterial acute sinusitis. Isolated sphenoid sinusitis is a rare disease with potentially devastating complications such as cranial nerve involvement, brain abscess, and meningitis. It occurs at an incidence of about 2.7% of all sinus infections. There have been no previous reported cases of unilateral sphenoid sinusitis presenting as septicaemia in an otherwise healthy young immunocompetent adult.