Hi and thanks for the query,

Altered smell or smelling yeast might require a more in depth clinical evaluation for two main reasons:

- to ensure the integrity of your nasal covering. Alterations there might lead to alterations in the sense of smell
- To actually ascertain the degree of infection, characterize the type of infection, and if present, remove a sample for laboratory analysis, cultures and sensitivity testing to adapt appropriate antibiotic or antifungal drug to specific causative agent.

It is possible to have a yeast infection in the nasal region. But it is generally RARE. Most infections there are of bacterial origin or of viral origin. I suggest you consult your rheumatologist first for a proper review of your control of parameters of surveillance (ANA titres, ESR, CrP) to see if treatment could be adapted or changed.

Thereafter, it is compelling to XXXXXXX an ENT specialist for a proper expert examination.

Thanks and hope this helps. But do not hesitate asking further questions if need be.

Best regards,
Luchuo, MD.

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Hi and thanks for the query,

Taking steroids at this stage should be done with a lot of caution. IN case there is an infection actually, this might compromise the immune response mechanism in this area, and the antibiotics prescribed, in case of an infection, might not subsequently not be very effective. Steroids are prescribed with caution due to their side effects and changing their doses and their specific interactions deserve the knowledge of your doctor.

I totally agree with you seeing your rheumatologist, then an ENT specialist once more for review. Their opinions after reevaluation would be of great help.

Thanks and best regards as I wish you the best of health.

Luchuo, MD.

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