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Pseudomonas in sinuses

Ear, Nose & Throat (ENT) | Last Active: 1 day ago | Replies (18)

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@jdl2004

I was just diagnosed with Pseudomonas Aeruginosa in my sinuses after having chronic sinus infections for the past year that would not go away despite being on multiple rounds of Doxycycline, Clindamycin and Prednisone (I am allergic to Cipro and will not take a risk with quinolones again.) I had a CT and MRI that confirmed calcifications and the dr originally suspected a fungal infection. Finally got into a new ENT who did an endoscopy and culture that determined the infection is Pseudomonas and the only antibiotics (at least in my case) that will cure it are: AMIKACIN, CEFEPIME, CEFTAZIDIME, CIPROFLOXACIN, GENTAMICIN, IMIPENEM, LEVOFLOXACIN, MEROPENEM, PIP/TAZOBACTAM. From my research (and from Quest’s report), IV antibiotics are the best method of curing this resistant bacterial sinus infection. MEROPENEM is supposed to be the most effective against it but the ENT will not prescribe it because it is an IV antibiotic and advised me that I need to see an Infectious Disease dr which I am finding is next to impossible to get into. I have called three different practices and they all say it is up to 7 business days to review my info before deciding if they will even schedule me for an appointment. Meanwhile I am having severe headaches and the infection is continuing to get worse. I am also immunocompromised because of other medical issues so looking for any other suggestions and interested in learning from others’ experiences.

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Replies to "I was just diagnosed with Pseudomonas Aeruginosa in my sinuses after having chronic sinus infections for..."

Welcome to Mayo Connect, where you will find a supportive community to help you through this troublesome infection.

I am sorry to say that in our current medical care climate, most of us would be thrilled with a seven day wait.

Is there any possibility that the ENT will continue to treat you with a (less effective) antibiotic to help keep the infection contained until you can get an ID consult?

Alternatively you could ask either the ENT or your primary for an "Urgent" referral.