First of all, another culture might be misleading, because you have already been given antibiotics and their are a variety of anaerobic bacteria usually found in the upper rerspiratory tract that are difficult to grow in a culture. So you have to assume you have a mixed anaerobic infection. I avoid using the words "normal flora", because these same bacteria wouldn't usually cause infections od the mouth, however, they could play a part in gum diseaAE.

For a serious infection like yours, it is important to get the highest blood/tissue levels as possible. The best is iv, the next best is im, and with oral drugs the blood/tissue level of the antibiotic is much lower than iv or im injections.

You can find just about any bacteria in the throat and the presence of the usual flora protects you from infection. After taking antibiotics, it is a sure thing you will see yeast in your throat, and may or may not cause an infection. If you had dianetes or HIV a yeast infection is likely.

The fact that you are still feeling pain, sugests you still have and infection, and drainage and debridement of the infected bone and tissue is an important part of the treatment. I can't give you a precise date when you are curerd, but expect a few more weeks of treatment.

Cleocin is an excellent anaerobic drug, doxycycline is just as oral drug asnd cleocin could be given iv or im.

Here are some combination drugs which act together (synergistic effect): Cefoxitin, probenecid ( not an antibiotic), and doxycycline. Rocephin and doxycycline. Two newer anaerobic drugs are Floxin and Levaquin


Bruce