Sinusitis (cont.)

Medical Author:
Medical Editor:

What are the types of sinusitis?

Sinusitis may be classified in several ways, based on the time span of the problem (acute, subacute, or chronic) and the type of inflammation (either infectious or noninfectious).

  • Acute sinus infection (also termed acute sinusitis caused by infection) is usually defined as being of less than 30 days duration.
  • Subacute sinus infection as being over 1 month but less than 3 months.
  • Chronic sinus infection as being greater than 3 months duration.

There is no medical consensus on the above time periods.

  • Infected sinusitis usually is caused by uncomplicated virus infection. Less frequently, bacterial growth causes sinus infection and fungal sinus infection is very infrequent. Subacute and chronic forms of sinus infection usually are the result of incomplete treatment of an acute sinus infection.
  • Noninfectious sinusitis is caused by irritants and allergic conditions and follows the same general time line for acute, subacute and chronic as infectious sinusitis.

What are the signs and symptoms of sinus infection?

Commonly the symptoms of sinus infection are headache, facial tenderness, pressure or pain, and fever. However, as few as 25% of patients may have fever associated with acute sinus infection. Other common symptoms include:

  • cloudy, discolored nasal drainage,
  • a feeling of nasal stuffiness,
  • sore throat, and
  • cough.

Some people notice an increased sensitivity or headache when they lean forward because of the additional pressure placed on the sinuses. Others may experience tooth or ear pain, fatigue, or bad breath. In noninfectious sinusitis, other associated allergy symptoms of itching eyes and sneezing may be common, but may include some of the symptoms listed above for infectious sinusitis. Nasal drainage is usually clear or whitish-colored in people with noninfectious sinusitis.

With rare fulminant fungal infections, there may be ulceration, with sharply defined edges and a black, necrotic center in the nasal area. Some fungal infections cause a dark, black-appearing exudates. This requires immediate medical evaluation.

Reviewed by William C. Shiel Jr., MD, FACP, FACR on 1/31/2013

Patient Comments

Viewers share their comments

Sinus Infection - Symptoms Question: What were your symptoms for sinus infection?
Sinus Infection - Causes Question: Are you prone to sinus infections? If so, what do you believe is the cause(s)?
Sinus Infection - Home Remedies Question: Please share home remedies for treating a sinus infection.
Sinus Infection - Complications Question: Did you suffer complications of a sinus infection? Please share your experience.
Sinus Infection - Effective Treatments Question: What kinds of treatments have been effective for your sinus infection?

Get the latest health and medical information delivered direct to your inbox FREE!