Fever is a common symptom of acute attack of sinusitis, sinusitis fever 39 degrees need for sinusitis symptomatic treatment, local treatment, causative treatment and surgical treatment. 1. Symptomatic treatment: that is, the first cooling, can take physical cooling such as alcohol or wet towel wipe body, ice, etc.; in addition can also be applied to ibuprofen, acetaminophen and other non-steroidal anti-inflammatory drugs to reduce fever and inflammation. 2. Local treatment: local glucocorticosteroids such as mometasone furoate nasal spray, decongestants such as furosemide nasal drops and antihistamines such as azelastine nasal spray can be applied under doctor’s guidance. 3. Treatment of cause: In addition to fever reduction, the cause of fever should also be dealt with. For bacterial infection caused by sinusitis should use antibiotics, such as amoxicillin clavulanate potassium, clarithromycin tablets. Viral infections can be treated with medicines such as ribavirin and acyclic guanosine. 4. Surgery: If the standardized drug treatment is still ineffective, or the emergence of orbital and cranial complications, then we need to consider the timely adoption of surgical treatment. It is recommended that the patient should consult a doctor in time and take standardized medication and diagnosis and treatment under the doctor’s guidance.