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spinal fluid in inner ear and candida dubliniensis
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An_246301 posted:
A while back i asked you about my childs chronic ear infections, ear dermatitis and chronic thrush along with ear fungus. you suspected you would have a type of fungal problem. she did test positive for candida albicans and candida dubliniensis. the physician said no treatment was needed because she had already taken diflucan. however she has been taking diflucan for fungal infection for 4 months ( 2 wks, then 1 time per month for 6 months, we are 4 months into treatment) thrush has returned 2 xs since started tx could the 2nd candida be resistant to the diflucan? she continued to have ear problems and her ent insistead it was dermatitis due to sensitive skin. i knew something else was wrong. her ent got upset when i suggested the titanium tubes so i took her for a 2nd opinion. her new ent said couldn't even see eardrum totaly closed off with build up. he said tubes need to come out. when he removed right tube lots of clear fluid was present he check for spinal fluid test was positive. she is going to emory hospital nx wk. she is complaining with head and eye pain will not eat or drink (she is 22 months). since around march 2012 she has had chronic ear problems: pain, dermatitis, fugal infection, thrush and vaginal infections, mrsa positive in blood work and throat swab, standing on her head and banging head against wall at bedtime, headaches off and on. could all this be related to the tube being closed off and spinal fluid leaking and what could have caused the spinal fluid to be present ?

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1 Replies |Watch This Discussion | Report This| Share this:spinal fluid in inner ear and candida dubliniensisA while back i asked you about my childs chronic ear infections, ear dermatitis and chronic thrush along with ear fungus. you suspected you would have a type of fungal problem. she did test positive for candida albicans and candida dubliniensis. the physician said no treatment was needed because she had already taken diflucan. however she has been taking diflucan for fungal infection for 4 months ( 2 wks, then 1 time per month for 6 months, we are 4 months into treatment) thrush has returned 2 xs since started tx could the 2nd candida be resistant to the diflucan? she continued to have ear problems and her ent insistead it was dermatitis due to sensitive skin. i knew something else was wrong. her ent got upset when i suggested the titanium tubes so i took her for a 2nd opinion. her new ent said couldn't even see eardrum totaly closed off with build up. he said tubes need to come out. when he removed right tube lots of clear fluid was present he check for spinal fluid test was positive. she is going to emory hospital nx wk. she is complaining with head and eye pain will not eat or drink (she is 22 months). since around march 2012 she has had chronic ear problems: pain, dermatitis, fugal infection, thrush and vaginal infections, mrsa positive in blood work and throat swa<b>b, standing on her head and banging head against wall at bedtime, headaches off and on. could all this be related to the tube being closed off and spinal fluid leaking and what could have caused the spinal fluid to be present ? </b>
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Rod Moser, PA, PhD responded:
Having spinal fluid in her ears is a very troubling sign, meaning that there is a communication between the central nervous system and her ears. Has she had an MRI or CT scan? I am so glad that she is going to have a higher level evaluation. She must have been in so much pain over this. My heart goes out to her.....

I do not think that her tubes are totally responsible, even if they were clogged. This type of problem typically occurs with chronic infections that erode areas of the cranial bones, which in some places are paper thin. The tubes were supposed to help manage those infections, but as you know, those tubes are not perfect. Did she have MRSA in her middle ear drainage or just on the blood culture?

Her case is well beyond my primary care area of expertise, so I am sorry that I cannot offer you any profound insight. I would really appreciate an update after she is evaluated at Emory.
Report This| Share this:spinal fluid in inner ear and candida dubliniensisHaving spinal fluid in her ears is a very troubling sign, meaning that there is a communication between the central nervous system and her ears. Has she had an MRI or CT scan? I am so glad that she is going to have a higher level evaluation. She must have been in so much pain over this. My heart goes out to her.....<br /> <br />I do not think that her tubes are totally responsible, even if they were clogged. This type of problem typically occurs with chronic infections that erode areas of the cranial bones, which in some places are paper thin. The tubes were supposed to help manage those infections, but as you know, those tubes are not perfect. Did she have MRSA in her middle ear drainage or just on the blood culture?<br /> <br />Her case is well beyond my primary care area of expertise, so I am sorry that I cannot offer you any profound insight. I would really appreciate an update after she is evaluated at Emory.
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