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I have a 23 mo son that has been sick for over a year. He has had about 10 ear infections in 5 months so theyput tubes in his ears and after 3 more months of ear infections they finally subsided. On top of these he has had multiple sinus infections, pnuemonia, thick coughs, very high fevers (usually 104 to 105.5) he always has the gunky eyes and green boogy face. He has been put on antibiotic after antibiotic. He is currently on the 21st day of constant antibiotics. When the 7 day ones didn't work they started 10 days then 14. They day after he was finished with the 14 day stinky antibiotic he was in the ER with pnuemonia and put on another that seemed to help at first but now 7 days into it he has more fevers and his cough is worse than ever. He goes on antibiotics, gets off and within days is back on and now hes even getting worse while on them. I wanted to test his imune system but can't because he is never well enough to. I am at the end of rope and exhausted. What do I do?

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replied February 15th, 2010
Ear, Nose and Throat Disorders Answer A10064
Hi, welcome to the ehealth forum and I am glad to help you.
You seem deeply concerned by the recurrent ear infections, sinus infections, pneumonia and high fevers in your 23 months old son over the last 1 year which are resistant to many antibiotics.
IgA deficiency is found in some children with recurrent AOM, but its significance is questionable, because IgA deficiency is not uncommon in children without recurrent AOM. Selective IgG subclass deficiencies (despite normal total serum IgG) may be found in children with recurrent AOM in association with recurrent sinopulmonary infection; these deficiencies probably underlie the susceptibility to infection. There are studies that breast-milk feeding, as opposed to formula feeding, confers limited protection against the occurrence of OM in infants with cleft palate; and studies in which young children with recurrent AOM achieved a measure of protection from intramuscularly administered bacterial polysaccharide immune globulin or intravenously administered polyclonal immunoglobulin. Though rare, the possibility of cystic fibrosis shall also be kept in mind in view of sinopulmonary infections in spite of ear infections not being a characteristic feature of cystic fibrosis. Multidrug resistant lung infections due to Burkholderia cepacia are a known feature of CF.You can also get your child vaccinated with pneumococcal and influenza vaccines as a safeguard.
You can consult your doctor about the options for the definitive diagnosis and appropriate management.
Hope this helps. Take care.
Note: This post is not to emphasise final diagnosis as the same cannot be made online and is aimed just to provide medical information and no treatment suggested above be taken without face to face consultation with health care professional.

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