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Pseudomonas putida

Posted by ericaolive @ericaolive, 3 days ago

Hello all - I have had recurrent sinus infections for decades. Finally in 2020 it was discovered that I had fungal sinusitis so I underwent surgery. It didn't eradicate everything so in 2022, I underwent surgery again. I recently developed another sinus infection and my primary doctor thought it was a good idea to get a culture done, just in case. Here are the results:
Acinetobacter johnsonii - moderate growth
Staphylococcus capitis - Scant growth
Pseudomonas putida -Scant growth
I have just started a sinus rinse of Gentamicin but am worried that this will never go away and am concerned about what the potential is for this becoming more dangerous. I have been taking immunosuppressive drugs for MS for the past 7 years but stopped 3 months ago. Will the fact that I am no longer taking that medication make it more likely that I can get rid of this with the rinses?
Thank you in advance.

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Mentor
Sue, Volunteer Mentor | @sepdvm | 1 day ago

Hello @ericaolive and welcome to Connect ENT. We are just fellow patients with experience in various aspects of this medical specialty so hopefully you will find someone who has a history of sinusitis to throw in their 2 cents worth.
Did the doctor say these organisms are all pathogenic or are some normal flora? Was there any discussion of adding in a GI probiotic to help stabilize your normal gut microbiome? I understand that this can also support our immune system as well. You are in a tough spot with MS and needing immunosuppression to control that while also needing a healthy immune system to fight infection. Perhaps these few months off will help you to battle the sinusitis, but I imagine that is a wait and see type of proposition. You might discuss with your doctor beta Glucan as an immune augmentation. There are studies that support it as an immune system supporter. I would continue to work with both your ENT and MS doctors and if you find that you are spinning your wheels then ask for a referral elsewhere. Sometimes it is beneficial to travel to a larger facility for more specialized care. You are your own best advocate for your health care.

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