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It appears that you are experiencing chronic sinus inflammation and pressure on the right. The sinuses connect the nose and the eye on each side. Since your current medications have not been effective, there is a need for a closer evaluation with a CT Scan of the sinuses to exclude sinus bone infection. If you are found to have chronic sinus inflammation without infection, then more aggressive steriod inhaler, such as Flonase, Nasonex or other can be prescribed in addition to Allegra-180 D or Humibid PSE (more effective than those you have used) to help resolve this problem. If the doctor find infection, the antibiotics such as Augmentin 875 mg twice daily for 14 days can be prescribed to you by your doctor to hel resolve this.
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Yes, it does matter that it involves two parts and not all. Leukocytes includes neutrophils, monocytes, lymphocyte and eosinophils. The fact that neutrophils is affected mostly suggest that the component of the immune system affected is limited to that responsible for the generation of the neutrophils.
MRSA bacteria infection is defended predominantly by the neutrophils. The underlying cause could be deficiency in specific IgG, IgD or IgM production. By testing for the blood level of these antibodies the doctor would gain more insight in the plan for treatment.
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