1. < Ear, Nose & Throat (ENT)

Pseudomonas putida

Posted by ericaolive @ericaolive, Apr 4 9:41am

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.

Interested in more discussions like this? Go to the Ear, Nose & Throat (ENT) Support Group.

Mentor
Sue, Volunteer Mentor | @sepdvm | Apr 6 9:08am

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.

REPLY
1 reply
ericaolive | @ericaolive | Apr 8 8:41am
In reply to @sepdvm "Hello @ericaolive and welcome to Connect ENT. We are just fellow patients with experience in various..." + (show)
@sepdvm

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.

Jump to this post

Hi - thank you so much for your response! I too am hoping to hear if anyone has experienced anything similar. After reading your message, I started thinking. I have been diagnosed with SIBO and I wonder if all of this bacteria is somehow connected.
My ENT didn't say too much, regarding pathogenic vs normal flora. They messaged me and said, "The doctor has reviewed your culture and shows that there are 3 different bacteria causing infection. We would like to start you on Gentamicin irrigations. Unfortunately the bacteria is not susceptible to the Augmentin you are currently taking. ...", and also told me to do the Gentamicin rinse, twice daily for 30 days. On day 4 now, so I am hoping this will work.
I have never heard of beta Glucan and will definitely talk to my doctor about it.
I really appreciate your input, thank you!!

REPLY
Please sign in or register to post a reply.