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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Fungal Infections Cause Nasal Odor?

My husband is 32, he has a horrible odor coming from just his nose. I can tell if he has been in a room because it lingers so long. our bedroom is 28 feet long and the WHOLE room smells like his nose odor. It smells like spoiled parmesan cheese, and its a very sharp smell. He cannot smell it himself. I have known him for three years and it has been on and off. he had surgery in December 2013 to fix a deviated septum. I thought that might cure the horrible smell. But no it was back a few months after the surgery stronger then ever. He said that he still has a stuffy nose most of the time and using nasal spray like patanse and Flonase don t help they make the smell worse actually. His ENT did a ct of his head and if there was any polups making his nose stink would they have found them? I am so sure that it has something to do with his sinuses. Also he went urgent care last week because of a pain in his back that was on his lower left side and went around to his lower left abdomen. So the doc took a ct with contrast to look for a kidney stone and didn t fine one. HE DID find that his lungs look congested. They ended up saying there not sure maybe a prostatitis and gave him a months worth of cipro 500. And that antibiotic is not helping the smell either because it as worst as ever. Could he have a fungul infection in his lungs cause nasal odor? Im at a loss and I don t even want to be in the same room as him because it smells so bad. please help!
Wed, 19 Nov 2014
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General & Family Physician 's  Response
Hi
Thank you for asking HCM
I have gone through your query.Usually anaerobic infections gives such smell.In such case a nasal secretion culture and swab from sinus should be done.Antibiotics like Co-amoxiclav usually covers the anaerobic bacteria also.In such case i advise it for 7 days therapy.Paranasal sinus X ray should be taken and puncture and drainage should be done if no improvement with antibiotics.Hope this may help you.
Let me know if you have any further query.
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Can Fungal Infections Cause Nasal Odor?

Hi Thank you for asking HCM I have gone through your query.Usually anaerobic infections gives such smell.In such case a nasal secretion culture and swab from sinus should be done.Antibiotics like Co-amoxiclav usually covers the anaerobic bacteria also.In such case i advise it for 7 days therapy.Paranasal sinus X ray should be taken and puncture and drainage should be done if no improvement with antibiotics.Hope this may help you. Let me know if you have any further query.