What symptom is least likely to be associated with acute bacterial sinusitis?

Acute bacterial sinusitis commonly presents with symptoms primarily related to the nasal and sinus areas. Key symptoms include facial pain or pressure, which can result from inflammation and obstruction of the sinus drainage pathways. Fever is also a frequent manifestation as the body responds to the infection. Severe headaches are often reported due to sinus pressure and inflammation.

Chest tightness, while concerning, is not a typical symptom of acute bacterial sinusitis. This symptom is more commonly associated with respiratory conditions such as asthma, pneumonia, or bronchitis, where bronchial constriction or an underlying lung issue is more likely the cause of chest discomfort. Therefore, while one might experience some respiratory symptoms along with sinusitis, chest tightness does not directly arise as a symptom of acute bacterial sinusitis itself, making it the least likely option in this context.