The problem is that all the “less effective” antibiotics have contributed to the virulency of the infection over the past year giving it more strength to create a biofilm protective wall. Since writing this, I was able to get in to see an ID doctor through a cancellation that opened up and I was set up with a PICC line along with my first dose of meropenem yesterday. I also met with a new ENT who concurred with the diagnosis and treatment plan. He added a nebulizer with gentamicin and scheduled sinus surgery a week after the meropenem kicked in to ensure we eradicate this infection from every angle. Everyone I have spoken with has said they’d never heard of this infection in the sinuses except for the ID dr who said it is very rare but that the IV antibiotics would be the only effective means of eradicating it successfully and even then there is a chance it can come back. My advice to anyone is to do your research, look for support groups and have an advocate with you.