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Tonsillectomy
Common risks discussed
You review a 55-year-old male in clinic who has significant nasal blockage, catarrh, congestion and hyposmia. Nasendoscopy did not demonstrate the presence of polyps, but a CT scan reveals pan-sinus opacification with inflammatory changes. He has not responded well to intranasal rinsing and topical steroids for three months but is not keen on surgery. You decide to prescribe a three-month trial of antibiotics according to the EPOS 2020 (European Position Paper on Rhinosinusitis and Nasal Polyps 2020) guidelines and therefore organise an ECG prior to commencing therapy. What ECG changes can be precipitated by the most appropriate prescribed antibiotic?
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