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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Taken Antibiotics For Swollen Face, Infected Salivary Glands, Cystic Acne. Taking CandiGone

Dear Sir,
Six weeks ago my daughter started feeling fluey and they her face swelled and we found out she had infected salivary glands. It took 2 rounds of antibiotics to get rid of it. Then she still started feeling bad all over and her cystic acne flaired up. She went off of all antibiotics. She tested positive for candida overgrowth through a saliva test. We took her off of wheat and gluten and put her on CandiGone, an anti-fungal that she's now been on for almost a month. She was doing better this past week. Then yesterday, Saturday, she woke up feeling fluey again and the cystic acne and some facial swelling (not salivary area) is back. We have seen a doctor, an ENT, and a natural doctor and no one has any clues. Where do we start? Thank you, Barb


Thu, 24 Oct 2013
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Radiologist 's  Response
Hi,
Thanks for writing in.

Having been treated for the salivary gland fungal infection, the cystic acne diagnosis might need tobe reviewed by a dermatologist.

Cystic acne might actually be infection due to H. suppurativa which is frequently treated inappropriately with short-term antibiotics, although secondary colonization does occur. H. suppurativa causes blockage of the sebaceous glands within the intertriginous areas (axillary, anogenital, and inframammary regions). This is followed by secondary inflammation of the apocrine (sweat) glands, forming sinus tracts, fistulae, scars, chronic discharge with odor, and recurring, tender, sterile abscesses.

The above is just a possibility given the diagnostic confusion. It needs to be confirmed clinically.

Hope this helps
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Taken Antibiotics For Swollen Face, Infected Salivary Glands, Cystic Acne. Taking CandiGone

Hi, Thanks for writing in. Having been treated for the salivary gland fungal infection, the cystic acne diagnosis might need tobe reviewed by a dermatologist. Cystic acne might actually be infection due to H. suppurativa which is frequently treated inappropriately with short-term antibiotics, although secondary colonization does occur. H. suppurativa causes blockage of the sebaceous glands within the intertriginous areas (axillary, anogenital, and inframammary regions). This is followed by secondary inflammation of the apocrine (sweat) glands, forming sinus tracts, fistulae, scars, chronic discharge with odor, and recurring, tender, sterile abscesses. The above is just a possibility given the diagnostic confusion. It needs to be confirmed clinically. Hope this helps