These bacteria are known to cause otitis media, bronchitis, sinusitis, and laryngitis. Sinus films are helpful in the diagnosis of sphenoid sinusitis. Complications can include sinusitis and acute otitis media. Secondary bacterial infections may occur resulting in sinusitis, pharyngitis, or an ear infection. It is commonly used to treat acute otitis media, pharyngitis, sinusitis, and gonorrhea. Common side effects when inhaled include upper respiratory tract infections, sinusitis, thrush, and cough. Biofilm bacterial infections may account for many cases of antibiotic-refractory chronic sinusitis. Cluster headache may be misdiagnosed as migraine or sinusitis. This includes pneumonia, conjunctivitis, endocarditis, tuberculosis, and sinusitis. Complications of nasal packing include abscesses, septal hematomas, sinusitis, and pressure necrosis. It is also associated with chronic sinusitis and persistent coughing. She became a patient herself, suffering from pneumonia and maxillary sinusitis. Acute episodes of sinusitis can also result from fungal invasion. Diseases like sinusitis, meningitis and dental caries leave typical traces. The unnecessary and ineffective treatment of viral sinusitis with antibiotics is common.