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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Recurring Heavy Ecoli In Sinus After Treatment With Avelox, Prednisone, On Levaquin, Medrol. Is Surgical Debriment Of Nose Possible?

I just learned that I have a second round of heavy growth e.coli in my sinuses. one month ago ct scan indicated pan opacification. no air cavity at all. i cultured my sinuses myself as i am a PA and it came back positive for heavy e.coli growth. ent put me on 14 day avelox and tapering prednisone starting at 60 mg. i felt great for about 5 days then it all came back and worse. i cultured again and yes again e.coli heavy heavy growth. in mean time i ordered sinus nebulizer with amphoceterin b and levofloxacin, after second treatment i wanted to to sue the company. today i started a course of levaquin and another medrol dose pack as i am so uncomfortable, in addition to the nasonex and zyrtec. HELP all i want is surgical debridment of my nose. any suggestion on abt???
Mon, 23 Dec 2013
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ENT Specialist,  's  Response
Hello

Welcome in H.C.M.

I have gone through your query regarding sinusitis not responding to medical and conservative treatment.

As you said that your C.T.Scan of paranasal sinuses shows opacification of all the sinuses, it means you are having pan sinusitis.

Now it has to be decided that what type of pathology is behind it , this may be made by good clinical examination and culture and sensitivity of nasal discharge.
If it comes allergic than surgery will not going to help you and you will get recurrence. In allergic cases medical treatment along with avoidance of probable allergen is line of action. On the other hand if it is blockade of osteomeatal complex by hypertrophied mucosa than surgical intervention by Functional endoscopic surgery will be the right choice.

Regards.
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Recurring Heavy Ecoli In Sinus After Treatment With Avelox, Prednisone, On Levaquin, Medrol. Is Surgical Debriment Of Nose Possible?

Hello Welcome in H.C.M. I have gone through your query regarding sinusitis not responding to medical and conservative treatment. As you said that your C.T.Scan of paranasal sinuses shows opacification of all the sinuses, it means you are having pan sinusitis. Now it has to be decided that what type of pathology is behind it , this may be made by good clinical examination and culture and sensitivity of nasal discharge. If it comes allergic than surgery will not going to help you and you will get recurrence. In allergic cases medical treatment along with avoidance of probable allergen is line of action. On the other hand if it is blockade of osteomeatal complex by hypertrophied mucosa than surgical intervention by Functional endoscopic surgery will be the right choice. Regards.