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Ear infection that won't go away
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debanme posted:
For the last 3 months I have gone to my Primary Dr and ENT specialists regarding my ear infections. I have been told that I had a buildup of wax to an ear infections in one ear, then both ears. They did a culture which didn't grow anything (not surprised since I've been on oral and ear drop antibiotics most of the time.) I told them of my history since the last two surgeries I've gotten infections after the fact(suspect MRSA). Now I have an extreme case of sore throat and the ringing and pain in my ears are getting unbearable. What do I do now? The last visit they sucked the YUK out of my ears, which came back the next day, and was told it looks like bacterial in one ear and fungal in the other ear. HELP!!!
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Rod Moser, PA, PhD responded:
Without knowing the medical details of your case (culture results, examination findings), and of course, the ability to examine you myself, it is very difficult for me, or any medical provider, to be able to advise you in the "next step", but clearly, if you still have an infection (I am assuming you have otitis externa, since you did not tell my your diagnosis), that you will need to remain on those medications for a while. Stick with the ENT....

What medications are you taking? What KIND of bacteria or fungus?
 
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debanme replied to Rod Moser, PA, PhD's response:
I'm now taking Sulfamethoxazole-TMO ds, we don't know what kind of bacteria or fungus since culture didn't grow, so we are shooting it in the dark. They have stopped the ear drops for now which was Ciprodex. Ive been on Amoxicillan and another antibiotic that I can remember but their diagnosis is ear infection, if there is another name for it they didn't tell me. They make me feel like it's no BIG deal but let them have this for 3 mod. or better and I believe they would be more frustrated than I!!! I suffer from chronic pain with my neck and back and I have a Medtronic pain pump, I wish I had leads that run into my ears and I wouldn't care either....
 
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Rod Moser, PA, PhD replied to debanme's response:
You could see a different ENT for a second opinion....

You are on a medication that would cover MRSA but you are not on any medication that would cover a fungal infection. To culture fungus, your doctor would need to do a special "fungal culture" (it will not grown on the normal culture plates), and it can take a month or more to determine the type of fungus. Most clinicians, if they suspect fungus, will just treat it since the antifungal medications are indiscriminate (they treat all types).

Clearly, you are not better and it appears that your currently medical regime to treat you is not working.
 
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debanme replied to Rod Moser, PA, PhD's response:
Thank you for responding, as you can tell I'm so frustrated. Thanks for the info-will try another ENT if I continue to get worse...
 
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Rod Moser, PA, PhD replied to debanme's response:
Three months is a long time to have these issues.....Another possibility is to consult a dermatologist, since this may primarily be a skin issue (the skin, of course, is the lining of your external ear canal).


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