Same problem here on Debian unstable with LXDE. It seems timidity is claiming the sound device before PulseAudio can.
# fuser -v /dev/snd/* USER PID ACCESS COMMAND /dev/snd/controlC0: timidity 635 F.... timidity /dev/snd/pcmC0D0p: timidity 635 F...m timidity /dev/snd/seq: timidity 635 F.... timidity /dev/snd/timer: timidity 635 f.... timidity # systemctl stop timidity # fuser -v /dev/snd/* # After logging in again as a regular user, pulseaudio daemon starts again and now is able to claim the sound device. Now sound works again. HTH, Peter Nowee