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Gordonia bronchialis

MAC & Bronchiectasis | Last Active: 5 days ago | Replies (11)

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@annagh

Toni, I hope this is easily resolved. It sounds like you are in the thick of it, and it's always a bit alarming to hear of a new bug revealed in the cultures.
Sue, your research and sharing is always amazing, and so appreciated.

My last sputum culture (late October), came back negative for MAC again (thank you chlofazamine trial and airway clearance!) but did show Gordonia Otitidis. Dr. Winthrop said it was not a concern, "usually due to an environmental contaminant." But around Thanksgiving I began having sinus issues, starting with a one-sided headache that hurt when I coughed. I have not gotten really sick, just stuffiness and drainage, that is especially annoying when, at night, it combines with the stuff coming up from my lungs. I've been managing, more or less, with saline nasal washes and flunisolide nasal drops, but now I'm wondering if the contaminant in my sputum might be from my sinuses. I have an appointment with Dr. W next week and will ask him. It would certainly be nice to clear my head!
All best to all of us.
Anna

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Replies to "Toni, I hope this is easily resolved. It sounds like you are in the thick of..."

Thank you, Anna. I wonder if the G. Otitidis was an early warning sign of a sinus infection?

I don't know how concerned to be about the G. Bronchialis. Reading the article Sue cited above raises the question of how - if at all - it will affect my MAC treatment and what antibiotics my doctor will prescribe. One article I read, https://pmc.ncbi.nlm.nih.gov/articles/PMC3811652/ said that G. Bronchialis takes 6 days to culture, so another question I'll have for my doctor is why it took the lab 42 days to identify it. I would also like to know if the lab did susceptibility testing. So many questions!

Good luck with your appointment with Dr. Winthrop. If you're comfortable with it, would you share if he says anything more about the Gordonia? Best,
Toni

Anna - that's an interesting finding, I believe it is one of the usual causes for "swimmer's ear" which is an outer ear infection. I'm curious about what the doctor will say.