Question Dear Dr. , My 6 yr old son has chronic sinusitis and Augmentum, Omnicef, Rhinocort and singulair have all failed to rid him of his symptoms. He is now on Biaxin for 2 weeks. He had a ct scan of his sinuses which showed sinus disease on one side in his spenoid, maxillary, and ethmoid sinuses, with the drainage tube completely obstructed. He had a rast test done recently, including for asperillugus, cat dander, dust mites and oak tree. The aperillugus is where I have a question, If his RAST test comes back positive for the asperillugus, would that mean that his sinusitis is being caused by AFS? If the biaxin fails to rid him of these symtoms, what is usually the next logical step in attaining control over the sinusitis? Would it be something like mini fess? My ent has not been in contact, and unfortunately, I have more questions than I have answers for. I know you cannot reccomend a course of treatment, I would just like your opinion as to what usually is the next step in a case such as I have described? Any info you came give me would be very helpful to a worried Mom.Thanks for answering my questions, Kim
AnswerThe aperillugus is where I have a question, If his RAST test comes back positive for the asperillugus, would that mean that his sinusitis is being caused by AFS? It could be a current or past infection causing the positive test.
If the biaxin fails to rid him of these symtoms, what is usually the next logical step in attaining control over the sinusitis? Antifungals can be tried or even nasal yogurt therapy.
I know you cannot reccomend a course of treatment, I would just like your opinion as to what usually is the next step in a case such as I have described?
As you know from the website we are not permitted to make diagnoses or suggest treatments but you may want to search www.nih.gov for fungal sinusitis
