Patient with nasal congestion, purulent discharge, facial pain and hyposmia

Abstract

A 46-year-old woman presented at the outpatient clinic with nasal congestion, purulent discharge, facial pain with pressure sensation, headache, hyposmia and fever (38.2°C) that had persisted for 4 months. This symptomatology was worse at night or upon awakening in the morning. Three months before, she was initially treated with antibiotics (amoxicillin/clavulanate) for 10 days but did not improve. An anterior rhinoscopy examination demonstrated bilateral