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The authors examined bacteria to confirm the pathogenesis of sinobronchial syndrome
(SBS). There were several theories such as the pus-descending, the pus-ascending,
the coinciding theory and so on. Detection of bacteria was performed in SBS
Patients, empyema patients with no lower respiratory disease, and healthy adults.
Considering SBS bacteriologically from the obtained results, the authors consider
that internal infections of aerobic gram-negative bacteria of the normal flora mainly
including Haemophilus influenzae possibly develop in two directions, downward and
upward (into nasal cavities) from the pharynx, and so the pathogenesis of SBS might
not be explained satisfactorily by either the ascending or the descending theory alone.