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Suggest Treatment For Pseudomonas Putida Infection In Nose
Question: yes please
from my nose pseudomonas putida has been grown and showed moderate growth -and for 8 months I have had ear aches, sinus aches and orbital pain and temporal pain and tinnitus and pain over the mastoid bone and strange sensory sensations like creeping sensations over the hole right side of my skull and the right side of my nose is stuffy - can all this be caused by the pseudomonas putida and if so what antibiotic treatment should I receive
from my nose pseudomonas putida has been grown and showed moderate growth -and for 8 months I have had ear aches, sinus aches and orbital pain and temporal pain and tinnitus and pain over the mastoid bone and strange sensory sensations like creeping sensations over the hole right side of my skull and the right side of my nose is stuffy - can all this be caused by the pseudomonas putida and if so what antibiotic treatment should I receive
Brief Answer:
Likely to be due to pseudomonas.
Detailed Answer:
Hello,
Thanks for posting your query.
The presence of a moderate growth of pseudomonas from the nose and the symptoms that you have described are suggestive of an ongoing infection in the area.
The antibiotic best for you can be detected by a culture sensitivity report. However this infection can best be treated with piperacillin and gentamicin. You can get the necessary antibiotics prescribed form your treating physician.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Likely to be due to pseudomonas.
Detailed Answer:
Hello,
Thanks for posting your query.
The presence of a moderate growth of pseudomonas from the nose and the symptoms that you have described are suggestive of an ongoing infection in the area.
The antibiotic best for you can be detected by a culture sensitivity report. However this infection can best be treated with piperacillin and gentamicin. You can get the necessary antibiotics prescribed form your treating physician.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
can the PET with radioactive contrast and the MRI and CT scan be said to be conclusive in ruling out an infection of any of the bones of the face and skull ?
Is the infection in your opinion a local chronic infection of the right sinuses and nose cavity or do you think considering the symptoms that the infection has spread to the lining/mucus membrane of the inner ear and mastoid or even the bones ?
I am afraid of an overlooked infection of the bones since the pain can be very persistent and feels deep and the bones over the ear and jaw joint - the attachment of the os zygomatic bone to the temple is especially tender when touching as is the cheekbone itself below the eye or is all this just referred pain from a chronic sinus infection - there was at one point some pus totally clear colorless but very thick and gluelike but has not been much mucus slime for a long time now
Is the infection in your opinion a local chronic infection of the right sinuses and nose cavity or do you think considering the symptoms that the infection has spread to the lining/mucus membrane of the inner ear and mastoid or even the bones ?
I am afraid of an overlooked infection of the bones since the pain can be very persistent and feels deep and the bones over the ear and jaw joint - the attachment of the os zygomatic bone to the temple is especially tender when touching as is the cheekbone itself below the eye or is all this just referred pain from a chronic sinus infection - there was at one point some pus totally clear colorless but very thick and gluelike but has not been much mucus slime for a long time now
Brief Answer:
A chronic infection likely.
Detailed Answer:
Hello.
Thanks for writing again.
PET with radioactive contrast and other investigations cannot conclusively rule out the infection. The infection may have spread to the mucous membranes. Infections of bones would have been detected on MRI and PET scan. Only a culture sensitivity can be confirmatory.
The pain near the T-M joint can be a referred pain. It is not necessary that the infection is affecting the bones.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
A chronic infection likely.
Detailed Answer:
Hello.
Thanks for writing again.
PET with radioactive contrast and other investigations cannot conclusively rule out the infection. The infection may have spread to the mucous membranes. Infections of bones would have been detected on MRI and PET scan. Only a culture sensitivity can be confirmatory.
The pain near the T-M joint can be a referred pain. It is not necessary that the infection is affecting the bones.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
then the antibiotics You have suggested for treatment - would that be as I.V. or merely per oral ?
and for how long should I continue the treatment ?
and what suggested dosage ?
- I am 48 years of age quite heavy build and 105 kgs
thanks again
and for how long should I continue the treatment ?
and what suggested dosage ?
- I am 48 years of age quite heavy build and 105 kgs
thanks again
Brief Answer:
Details below.
Detailed Answer:
You can take intravenous injections of piperracillin and tazobactam 4.5gms twice a day. The duration of treatment depends on the clinical response. You may need to continue it for more than 2 weeks.
Regards.
Details below.
Detailed Answer:
You can take intravenous injections of piperracillin and tazobactam 4.5gms twice a day. The duration of treatment depends on the clinical response. You may need to continue it for more than 2 weeks.
Regards.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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