Doctor insights on:
Fungal Sinusitis Vs Bacterial
Little research: It is difficult to answer this with certainty as this is an alternative treatment that has not been well studied. In theory it should be helpful for bacterial infections, as manuka honey has been used topically to treat skin infections. I have found a few studies to support its use for sinusitis, both for bacteria and fungi, but no large scale studies. http://www.ncbi.nlm.nih.gov/pubmed/21518647. ...Read more
Many different ones: Acute sinusitis is usually caused by some bacteria and chronic sinusitis is often cause by different ones. Oftentimes the infection may have more than one bacteria. The exact bacteria isn't generally important in acute sinusitis, as they usually respond well to typical antibiotics. If you have chronic sinusitis your ENT may recommend a culture of your nose to further investigate things. ...Read moreSee 1 more doctor answer
Depends: On the extent of sinusitis and whether there are other issues, like bone erosion or other structures affected in the same area. Your ENT would decide based on history, physical exam, lab results and imaging studies. Better to get the input of an allergist/immunologist as well, if feasible, best wishes ...Read more
Meningitis: This can occur but is rare. Bacteria may progress from areas in the head and neck to virtually any area of the central nervous system and produce meningitis, brain abscess, subdural empyema, etc. But these do not occur commonly and most doctors will not see a case in a lifetime. Infectious diseases experts and neurosurgeons see it more often. ...Read more
Duration: In either type of sinusitis the symptoms are the same. Even 60% of bacterial sinusitis clear without antibiotics. Bacterial infections show in three ways. Most common it is progressive worsening symptoms usually after cold or allergy attack over 10-14 days. Next is the cold that persists over 3-4 weeks not getting better or worse. Least common is severe sudden onset of symptoms with fever. ...Read more
I think I have fungal sinusitis where would I go to get that treated and what antibiotics are there?
I've read that the majority of sinusitis is viral in nature. What differentiates it from the bacterial kind? How long does the viral kind last?
Great question!: The only difference we have been able to show is the length of time of symptoms. If its anything less than 7-10 days then most likely its a viral infection. 10 days or more -> bacterial infection. Of course there are exception but this serves a general guideline for us to follow. ...Read more
Fungal sinusitis: Sinusitis involves inflammation & infection of the sinuses. Most often bacteria are the cause but occasionally mold & fungi can grow inside. This is most common in patients with allergies and those that have had multiple infections along with chronic sinus pressure and drainage. Sometimes a ct scan of the sinuses can help diagnose fungal sinusitis but often diagnosis is made during sinus surgery. ...Read moreSee 2 more doctor answers
Allergic fungal inf: Answer: extremely unusual. It is actually not clear to me what this means. Children can get fungal diseases, just like adults, but nowhere near as often. More likely in disease states like cystic fibrosis, immune deficiency, leukemia, etc. There is one particular fungal condition, "aspergillosis", common in asthmatics and can also cause sinus infection, which has "allergic" in its title. ...Read more
What does fungal sinusitis look like? Like, what would your "snot" look like? I am very concerned and have no pictures to help identify the problem.
Doubt fungal, see MD: Sinusitis is very rarely caused by fungi, except in people with uncontrolled diabetes or advanced immunodeficiency such asend-stage AIDS, terminal cancer, etc. The chance you have fungal sinusitis is very low. It doesn't cause any different mucusdischarge than any other nasal or sinus infection. There is no point in trying to self diagnose such a problem. See your doctor. ...Read moreSee 1 more doctor answer
Amoxicillin 4 sinus: 100% agree with Dr. Stephen Rothstein. For sinusitis caused by virus infection, no antibiotic treatment is needed. Acute sinus infection from bacteria is usually treated with antibiotic and Augmentin (amoxicillin and clavulanate) is the first chose. Amoxicillin is also acceptable. ...Read moreSee 1 more doctor answer
Allergic Fungal: Hello, different pathogens can cause sinus disease. Within the sinuses and nasal cavities exist bacteria and fungi. If conditions occur that lead to infection it could be due to either pathogen. Bacterial infections typically resolve with antibiotic therapy. If sinusitis persists, a resistant bacteria or fungal infection may be present. Culture and/or ct scan will help determine the cause. ...Read more
Night sweats: Night sweats mean you had a fever and it's now coming down. It's the way your body throws off heat. A bad sinus infection can make you run a fever, although most sinusitis does not come with fever. If you are on an antibiotic, this could also be a side effect of the medication. Hard to be sure. See your doctor if you haven't seen one. One-sided sinusitis often means dental issues, so be careful. ...Read more
I missed a dose of my antibiotic for my sinusitis; is that enough time for the bacteria to develop resistance?
Unlikely: Antibiotic dosage schedules are designed to have an overlap of coverage so that the level of the antibiotic does not get lower than needed for coverage when the next dose is given. If you missed a dose, you almost certainly had some available in your body and resistance development for this reason is unlikely. ...Read moreSee 1 more doctor answer
I seem to have the clinical symptoms of bacterial sinusitis and quinsy. What's the difference between quinsy and tonsilitis?
Peritonsillar Absces: Tonsillitis usually an infection of the tonsils which can be treated with oral antibiotics. Quinsy (peri tonsils abscess) on the other hand is a more serious infection which requires immediate surgical treatment. Without drainage of the abscess the airway may become obstructed. So if you suspect you gave Quinsy head to the emergency room immediately! ...Read moreSee 3 more doctor answers
Is a Neti pot an effective PERMANENT treatment solution or chronic bacterial sinusitis? Or will medications eventually be needed?
Chronic sinusitis: Chronic Sinusitis is as frustrating for doctors to treat as it is for the patients. Long term antibiotics have limited effect. I will not tell you that Netti POt is a permanent solution it is NOT.Chronic sinusitis needs a good ENT doctor work with you. Minimize congestion to prevent long term infection is the KEY ...Read moreSee 1 more doctor answer
ACUTE FUNGAL SINUSITIS MUCORMYCOSIS WITH DIABETES MELLITUS TYPE 2.
What is the treatment for the above Diagnosis?
Mucormycosis: Usually surgery combined with a complex combination of antifungal medications depending upon the organism and its sensitivities. This may be one of several mold fungi (Mucor, Absidia, Rhizopus, and others). Very severe condition with outcomes difficult to predict. Best wishes and hopes. ...Read more
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