Acute Bacterial Sinusitis — RACP Paediatrics MCQ

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EasyInfectious DiseaseAcute Bacterial SinusitisRACP Paediatrics

An 8-year-old presents with a 2-day history of right-sided facial pain, purulent nasal discharge, and fever. He had an URTI 10 days ago. What is the most likely diagnosis?

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Correct answer: B — Acute bacterial rhinosinusitis

Acute bacterial rhinosinusitis is diagnosed clinically: URTI symptoms that worsen after 5-7 days or persist beyond 10 days, with purulent nasal discharge and facial pain/pressure. First-line treatment is amoxicillin (or amoxicillin-clavulanate if no response). Imaging is not routinely indicated.

Reference: Therapeutic Guidelines – 2024 – Antibiotic: Sinusitis in Children