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mucus retention cyst and resistant strep-pnuemo in my 2 year old
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mucus retention cyst and resistant strep-pnuemo in my 2 year old

Hi all,

My 2 year old son has been on antibiotics for a sinus infection since November. My 4 and 5 year old daughters also have sinus issues and now all three have had tonsils, adenoids (adenoids) out and sinus flushes. My 5 year old had bones removed as well.

Anyway, my son got his tonsils out and sinuses flushed in February 2008. They cultured his sinuses and found that he had a resistant form of strep pnuemo (so sorry if I'm not spelling that correctly). He was on 2 different high powered oral antibiotics (one after another) and his repeat ct scan showed that he was still blocked. He had a Broviac placed and went on I.V vancomycin. Then, he had an allergic reaction to that and his ct scan showed that his sinuses were actually worse. We switched to I.V Zyvox and added oral Rifampin (sp?) and I.v. Diflucan.

He's been on those 3 for over 2 weeks now and has had a repeat ct scan today. I've gotten preliminary results from the NP... sinuses are better and he has a mucus retention cyst in his maxillary sinus. The dr. was not in and will get back to me on Monday as to what that means. In the meantime, I've done the ultimate no-no and searched the internet for answers.  And I've honestly not come up with a whole lot.

Does anyone have any information on this and what it could mean?

Thank you so much!
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I am so sorry that you and your son have had to endure this ordeal.  Mucous retention cysts are common in the sinuses, especially the maxillary sinus, of persons with chronic sinusitis.  They are benign cysts and often cause no problems. They can become infected and, when large can obstruct sinus drainage and predispose you to infection.  

The recurrent infection raises the question of possible immunodeficiency, specifically serum IgA deficiency.  This can predispose one to respiratory infection.  This can be familial and you might want to have all three children tested.
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