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What to do about persistent nasal discharge and fatigue after sinus surgery for aspergillus infection?
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Infectious Illnesses
Question #29110
7 hours ago
11

What to do about persistent nasal discharge and fatigue after sinus surgery for aspergillus infection? - #29110

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In Jan 2025 when I was 32 i had surgery in Mexico for stage 4 obstructive nasal polyps and for a mass of aspergillus fumigatus that was in my frontal, ethmoidal, sphenoidal sinuses.The fungus was 1/2 millimeter away from my brain and was pushing my brain inwards.It had begun to inflamed the duramater of my brain. It was 1/2 cm or less away from my optic nerves. The fungus was described to me after surgery to be about the size of a fist when clumped together. After my surgery I felt better than I had felt in 20 years. Since I was 13 I had vague yet severe chronic health problems including severe fatigue, low fevers, night sweats, rotating aches and pains. After surgery i felt exceedingly well except for fatigue, night sweats, and some continuing nasal “allergies” or nasal discharge. Then in September 2025 i began feeling worse: Severe headaches, sinus congestion, and more fatigue. My neurosurgeon who is in Mexico talked to me on the phone and advised me to take an antibiotic just in case I was having bacterial infection. I took it, but felt no real improvement. He then advised me to take itraconazole just to be precautious because he was anxious that I could get aspergillus fumigatus in my brain because my brain is now exposed (with a endoscope you can see the duramater when my polyps are smaller) after sinus surgery. In January 2026 I was able to travel to Mx. There I was told my my ENT that i had grown stage 2 nasal polyps, that I had a bacterial infection, and that I had high levels of aspergillus fumigatus in my blood. High igg, igm, and ige. Was given oral steroids, steroid spray, antibiotics by my ENT. My neurosurgeon gave me 2 months of itraconazole because of the high levels of aspergillus. Both doctors told me that my house is likely having aspergillus fumigatus and an unhealthy environment for me. I initially felt much better. I spent about 1 month in Mexico.i never stopped having bright yellow snot and fatigue, but I felt pretty well. When I came home soon I started feeling worse. Very fatigued! Now I have brown cheese-like grainy balls coming out of my nose besides bright yellow snot and fairly often blood. Sometimes I wake up to swallowing and choking on balls of mucus or whatever. Sometimes I snort and grainy textured mucus runs into my throat. I’m almost 100% sure it’s fungus. But I can’t move from my house cause I live with my parents and they can’t afford their ideal house, and I don’t think the itraconazole is helping. Or do I have to keep using it ALL the time? I can’t afford to go to a doctor right now.

When did you first notice the brown, grainy mucus?:

- It has been present for a while

How would you describe the severity of your fatigue?:

- Moderate — it affects my daily routine

Have you experienced any other symptoms besides nasal discharge and fatigue?:

- No other symptoms

How often do you experience headaches?:

- Occasionally

Have you noticed any specific triggers for your symptoms?:

- Dust or mold

How would you rate the effectiveness of itraconazole for your symptoms?:

- Not effective — no change

Have you made any changes to your environment since returning home?:

- Yes, I cleaned thoroughly
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