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The primary difference between a sinus infection and a cold is its duration. While colds generally peak after two to three days, sinus infections can last seven days or more. Further, people who simply have a common cold generally do not run a fever or experience significant fatigue, while people suffering from sinus infections may suffer both.
Younger kids often have cold-like symptoms, including a stuffy or runny nose and slight fever. If your child develops a fever 5-7 days after cold symptoms begin, it could signal sinusitis or another infection (like bronchitis, pneumonia, or an ear infection), so call your doctor. Many parents mistake cold-related headaches in young kids for sinus infections. But the sinuses in the forehead don't start developing until kids are 6 or 7 years old and aren't formed enough to get infected until the early teen years. So headaches in kids who have colds usually aren't sinus infections. In older kids and teens, the most common sinusitis symptoms are a cough that doesn't improve after the first 7 days of cold symptoms, fever, worsening congestion, foul breath, dental pain, ear pain, or tenderness in the face.