Cory cultured B.Cepacia exactly 3 years ago. It was a nightmare! I remember ealking out of the doctor's office stunned, completely numb. We do have a very aggressive doctor so he immediately put Cory on a 3 antibiotic "cocktai"(IV) and ordered a Bronch to have a closer look. When all the test came back it showed Cory had Genomovar III. "Can it get it any worse". Cory was on quick decline. He PFT went from being in the 80's to now staying around 50. His doctor was beginning to beleive he was showing signs of having Cepacia syndrome.
Cory is fortunate to have the CF doctor he was. Cory cuturing Cepacia ticked him up. One day as I was in tears in the doctor office, he said " I am not quitting, we will fight this as hard as we possible have to". He researched and research, talking to doctors all over the world on the possitive results they had with Cepacia.
We started using a combination of 3 IV antibiotics, 2 oral antibiotcs and 1 inhaled. Cory did stabilize, start to get his energy back, and his lung functions started to improve.
That first month after culturing Cepacia, he stayed on antibiotics for almost 2 1/2 months but since this it is usually 3-5 times a year for a 2-3 week course. This summer has has been the longest without the need for IV's-4 months.
His PFT's have started to drop again (low 50's) but Cory doesn't place all of faith in the tests as he said he feels the best he has in a long time.
Cepacia is a complete pain in the A@@. It is the nightmare in the closet. It is not an automatic death sentence but it dow rob you of the life you once knew.
Although there is not direct new drugs to help people with Cepacia, there is research on it. There was (and may still be going on) the study of inhaled Aztreonam for people with Cepacia. They have also shown that even though it shows as an resistant antibiotic Azithromycin has benefits for individuals with Cepacia. I too wish there was more research for it. Spending the money for research for something that occurs to 3% of the Cf population is something that is not a priority. Sad but true.
Cory cultures show he is resistant to all known antibiotics. Scary! But with the use of "cocktails", we are lucky to still gain from the benefits.