Medical

Have Medical Questions? Ask a Doctor Online!

Ask a Doctor,
Get an Answer ASAP!

Medical
This answer was rated:

My 5 year old grand daughter has pseudomonas in the sinuses.

She was treated for sinus...
My 5 year old grand daughter has pseudomonas in the sinuses. She was treated for sinus infection from late August. To November with antibiotics and steroids before culture revealed bacteria. Treated with 1week broad spectrum IV melds then 3 weeks orally and 4 weeks of oral levoquin. 8 days after stopping levoquin complete blockage of sinuses. Ct scan shows thickening in all sinuses. Back on levoquin almost 2 weeks. What else can be done? Her little body created blood clots which caused vision loss which landed her in hospital. What can be done to prevent body from developing clots again and eradicating the bacteria forever?
Show More
Show Less
Ask Your Own Medical Question
Answered in 32 minutes by:
12/28/2016
Dr.Saleem
Dr.Saleem, Doctor
Category: Medical
Satisfied Customers: 2,399
Experience: MBBS
Verified

Hello , Dr Saleem here .Welcome to JA.I am revewing your query, will be right back.

Ask Your Own Medical Question

Is there anything else that bothers your kid, like breathing issues or Asthma? Any allergies? Has she been worked up for immunity or Ig levels?Any investigations other then CT done ?

Ask Your Own Medical Question
Customer reply replied 10 months ago
Mari and lumbar puncture. No asthma or allergies. Going to go to immunology dr next. What are lg levels
Customer reply replied 10 months ago
Mri
Customer reply replied 10 months ago
Initially had abscess near bone of right eye. That is now gone.
Customer reply replied 10 months ago
Mri showed no bleed, LP negative

Ig levels are done for checking body's immunity. These are antibodies which if found deficient can precipitate recurring or resistant infections in a person. Thats why you are going to immunology i guess

Ask Your Own Medical Question
Customer reply replied 10 months ago
All bloods were unremarkable in hospital. 8 day stay in hosp
Customer reply replied 10 months ago
Checking for autoimmune issue

So an abscess first and then sinusitis that has been quite resistant till now might point towards an issue with immunity.

Ask Your Own Medical Question
Customer reply replied 10 months ago
Sinusitis first, then abscess
Customer reply replied 10 months ago
Sinusitis, ear infection, then abscess

These are specific tests for immunoglobulins that are not routinely done , i guess your blood work up might be having that till now.

Ask Your Own Medical Question
Customer reply replied 10 months ago
Infectious disease felt 3 rounds of antibiotics plus steroids reduced immun

Another important thing is any abnormality with the air passages starting from nose. Any block to outlet of sinuses can result in recurrent infection. Has she been evaluated by ENT people for that

Ask Your Own Medical Question
Customer reply replied 10 months ago
ENT says adenoids are huge when not infected, they were moving toward surgery when she ended up in hospital
Customer reply replied 10 months ago
She's been to ENT biweekly since august
Customer reply replied 10 months ago
Deviated septum seen on scans
Customer reply replied 10 months ago
Fluid in ears long time

Yeah its quite right if adenoids are the underlying cause causing obstruction and recurrent infection then surgery is surely recommended to remove the basic thing precipitating sinusitis.

Ask Your Own Medical Question
Customer reply replied 10 months ago
The day she was released from hospital the culture showed pseudomonas
Customer reply replied 10 months ago
what do they do for the bacteria since drug resistant

So you have told about two of the main causes

1. Deviated septum

2.adenoids

M pretty sure if these two get fixed it will increase the likelihood of her getting rid of this recurrent/resistant infection.

Ask Your Own Medical Question
Customer reply replied 10 months ago
What about sinus surgery?

They can do culture with drug sensitivty for checking out which antibiotic is the germ sensitive against so that helps in the choice of appropriate medicaton.

Ask Your Own Medical Question
Customer reply replied 10 months ago
That's how they chose levoquin.
Customer reply replied 10 months ago
Anything can be done to build immunity while on antibiotics? She takes probiotics daily

To cure any condition we need to treat its cause , i am afraid the cause is still there in shape of deviated septum and adenoids.

Low immunity either naturally or due to long term steroids use may also be one of the factors.

In order to see how effective surgery might be i recommend absolute eosinophil count before that. A persistantly raised count despite medical treatment is predictive of less favourable response to surgery .

Ask Your Own Medical Question
Customer reply replied 10 months ago
What is absolute eosinophil count?

Its a blood test to count eosinophils and is a very useful index in allergies, active infections etc. It can also tell or predict how useful more aggressive measures like surgery would be in sinusitis already treated with medications.

Ask Your Own Medical Question
Customer reply replied 10 months ago
Anything to raise immunity while on levoquin?

Well its all about diet for now . Make your kid eat well, a wholesome diet containing appropriate balanced amounts of carbs, proteins, fats, fibre, vitamins and minerals. Nothing drastic can be brought about but eating well is the way go .

Ask Your Own Medical Question
Customer reply replied 10 months ago
Thank you. She goes to the infectious disease doctor tomorrow. Now I have several more questions to ask

You are welcome . I hope it was helpful. Please do ACCEPT with a 5 star rating.

Wishing your kid a healthy life and quick recovery.

Dr.Saleem
Dr.Saleem, Doctor
Category: Medical
Satisfied Customers: 2,399
Experience: MBBS
Verified
Dr.Saleem and 87 other Medical Specialists are ready to help you
Ask your own question now
Customer reply replied 10 months ago
Thank you
Ask Dr.Saleem Your Own Question
Dr.Saleem
Dr.Saleem
Dr.Saleem, Doctor
Category: Medical
Satisfied Customers: 2,399
2,399 Satisfied Customers
Experience: MBBS

Dr.Saleem is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Doctor

2,592 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Dr. Ketch

Dr. Ketch

Board Certified Physician

76 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Board Certified Physician

51,160 satisfied customers

Internal Medicine--practice all of internal medicine, all ages, family, health, prevention, complementary medicine, etc.

Dr Basu

Dr Basu

Experienced Specialist

20,734 satisfied customers

MD

Dr. David

Dr. David

Board Certified Physician

224 satisfied customers

Treat children/young adults, former chief resident, multiple publications

Dr. D. Love

Dr. D. Love

Doctor

17,064 satisfied customers

Family Physician for 10 years; Hospital Medical Director for 10 years.

Dr Chip (M.D.)

Dr Chip (M.D.)

Doctor

13,486 satisfied customers

20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.

< Previous | Next >

Related Medical Questions
Dr. Love only, My sinuses are draining prolific amounts of
Dr. Love only,My sinuses are draining prolific amounts of clear mucus down my throat. It is now 13 days into the cold, and 8 days into the Augmentin.I don't think this should still be happening. I am … read more
Dr. D. Love
Dr. D. Love
Doctor
Doctoral Degree
17,064 satisfied customers
I've had sinusitis for about 6 months or so- Augmentin alone
I've had sinusitis for about 6 months or so- Augmentin alone didn't fix it. Another Doc gave me antibiotics Lupin and steroids Predisone about 3-4 months ago. I refused to take them thinking it would … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
6,842 satisfied customers
Is there such a thing as "seasonal Asthma"? Montelukast
Yes. Montelukast 10MG, ProAir oral inh,Fluticasone nasal spray & Benzonatate 100MG. This is the 3rd Oct. in a row that I develop this cough. … read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
13,486 satisfied customers
I got my results and it says: Hep surface antibody and under
Hi I got my results and it says : Hep B surface antibody and under component says Hep B S Ab and the value says Positive (A) and the ref.range says negative . Can you tell me what's going on ? Do I ha… read more
Dr. Bob
Dr. Bob
Staff Physician
Doctoral Degree
2,215 satisfied customers
Headache thought to be caused from sinusitis, developed
headache thought to be caused from sinusitis, developed worst headache of my life last Wednesday went to ER had migraine protocol which helped but then headache returned just not as severe went back t… read more
Dr. Huynh
Dr. Huynh
Assistant Medical Director
Doctoral Degree
74 satisfied customers
I have chronic sinusitis and was treating with nasal sprays
I have chronic sinusitis and was treating with nasal sprays my puremist sudefed and benedryl which helped for awhile but my head still aches my sinuses are still draining and I feel pressure in my ear… read more
Richard Han
Richard Han
Pediatrician
Post-Doctoral Degree
256 satisfied customers
I have just been told that i have the herpies antibodies in
i have just been told that i have the herpies antibodies in my blood system , i have been in a intimate relationship with the same woman for the past 15 years we have been having unprotected sex she n… read more
Dr. D. Love
Dr. D. Love
Doctor
Doctoral Degree
17,064 satisfied customers
I have had blicked sinuses an. I have breathing problems a
I have breathing problems a cough since 30th Sept. … read more
DrRussMD
DrRussMD
Board Certified Physician
51,160 satisfied customers
I've been asked to test for thyroid antibodies because my
I've been asked to test for thyroid antibodies because my TSH was high (6.5). Does it mean that I am suspect of Hashimoto's disease or is this test done for some other reasons? Thank you.… read more
Dr. D. Love
Dr. D. Love
Doctor
Doctoral Degree
17,064 satisfied customers
I would like to research Necrotizing Autoimmune Myopathy.
I would like to research Necrotizing Autoimmune Myopathy. Could you provide me with some URLs to look that up on line? … read more
Dr.Saleem
Dr.Saleem
Doctor
2,399 satisfied customers
My wife has asthma and chronic sinusitis. She coughs up sand
my wife has asthma and chronic sinusitis. She coughs up sand like granules. Could this fungus balls or any other suggestion? … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,396 satisfied customers
I have pernicious anemia, and a few other autoimmune
I have pernicious anemia, and a few other autoimmune diseases. I may have had a "mini"stroke last week, and am just now calling my doctor's nurse to report it, even though I feel fine now. will a stro… read more
Medicaldoctor
Medicaldoctor
postgraduate resident,MD
Master\u0027s Degree
91 satisfied customers
Thyroid globulin antibodies of 845. what does that mean,
thyroid globulin antibodies of 845. what does that mean … read more
DrRussMD
DrRussMD
Board Certified Physician
51,160 satisfied customers
My aunt has an autoimmune disease- sounds lile we or well-
My aunt has an autoimmune disease- sounds lile we or well- something … read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,622 satisfied customers
Positive RNP and Negative antibodies, but Positive ANA, No
Positive RNP and Negative smith antibodies, but Positive ANA … read more
Dr Basu
Dr Basu
Experienced Specialist
Doctoral Degree
20,734 satisfied customers
Is there a role for balloon sinuplasty in ethmoid sinusitis
Is there a role for balloon sinuplasty in ethmoid sinusitis without maxillary disease? … read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,043 satisfied customers
If a patient is diagnosed with lupus anticoagulant antibody
If a patient is diagnosed with lupus anticoagulant antibody and needs to have warfarin reversed why would it be recommended by the doctor if he previous ffp transfusions not to use ffp to reverse the … read more
DrRussMD
DrRussMD
Board Certified Physician
51,160 satisfied customers
Is it possible for a UTI to 'kickstart' another Autoimmune
Hi there Is it possible for a UTI to 'kickstart' another Autoimmune condition? I have lichen planus, had a UTI a few weeks ago and now having aches in my hips and groin.Is it possible the UTI kicked o… read more
DR. EHTISHAM
DR. EHTISHAM
Consultant Physician& Rheumatologist
Doctoral Degree
1,351 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x