13th August 2024

A 19-year-old swimmer presents to A&E with a 10-day history of a right-sided headache, fevers and malaise

A 19-year-old swimmer presents to A&E with a 10-day history of a right-sided headache, fevers and malaise. She feels that her nose is blocked on the right side. When you go to assess her she is sneezing and coughing. Her observations are BP 107/59 mmHg, HR 98 bpm, oxygen saturations 98% on room air, temperature 37.2 degrees Celsius. Her neurological examination is normal. She reports pain when you press on the right side of her face.

What is the likely cause of her symptoms?

Select the SINGLE most appropriate option from the list below. Select ONE option only.