Two lung transplant recipients had concomitant acute sinusitis and acute lu
ng rejection. Antibiotics and decongestants alleviated the sinusitis, but t
he symptoms of cough and dyspnea as well as spirometric defects necessitate
d treatment of acute lung rejection. In patients with clinical evidence of
acute sinusitis: after lung transplantation, concomitant acute lung rejecti
on should be suspected if dyspnea or pulmonary dysfunction is also present.
This appears to be the first report of concomitant acute sinusitis and acu
te lung rejection.