(MAC/MAI) Mycobacterium Avium Complex Pulmonary Disease: Join us

Posted by Katherine, Alumni Mentor @katemn, Nov 21, 2011

I am new to Mayo online .. I was hoping to find others with .. MYCOBACTERIUM AVIUM COMPLEX PULMONARY DISEASE (MAC/MAI) and/or BRONCHIECTASIS. I found only 1 thread on mycobacterium accidently under the catagory "Lungs". I'm hoping by starting a subject matter directly related to MYCOBACTERIUM AVIUM COMPLEX PULMONARY DISEASE (MAC/MAI) I may find others out there!

I was diagnosed by a sputum culture August 2007 (but the culture result was accidentally misfiled until 2008!) with MYCOBACTERIUM AVIUM COMPLEX PULMONARY DISEASE (MAC/MAI) and BRONCHIECTASIS. I am now on 5 antibiotics. Working with Dr. Timothy Aksamit at Rochester Mayo Clinic .. he is a saint to have put up with me this long! I was terrified of the treatment . started the first antibiotic September 3, 2011 ... am now on all 5 antibiotics for 18 mos to 2 years. Am delighted at the very bearable side effects!

I wrote on the 1 thread I found: If you google NON-TUBERCULOUS MYCOBACTERIUM AVIUM COMPLEX PULMONARY DISEASE (MAC/MAI) you will learn a LOT about the disease. But PLEASE do NOT get scared about all the things you read .. that is what I did and nearly refused to do the treatment until after a 2nd Micomacterium was discovered! Educate yourself for "due diligence" .. but take it all with a grain of salt .. you are NOT necessarily going to have all the terrible side effects of the antibiotics! Good luck to you!

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January 2017 Update

One of our great Connect Members .. @Paula_MAC2007  .. had a wonderfully helpful idea that I wanted to share! Her idea .. as you read through the pages to gather information on our shared disease of MAC you can develop a personal "file cabinet" for future reference without the necessity of reading all the pages again!

If you have the "MS Word" program on your computer:
- Document Title Example:  Mayo Clinic Connect MAI/MAC Information
- Then develop different categories that make sense to you such as:  Heath Aids .. Videos .. Healthy Living .. Positive Thinking .. Baseline Testing and Regular Testing .. Antibiotics ..
Tips for
- As you read the pages .. copy/paste/save things of interest into that MS Word document under your preferred categories for future reference.

Then as you want to refer back to something in the future .. YEAH!  You have now created your own personal "file cabinet" on MAC/MAI!  Go to it!

Interested in more discussions like this? Go to the MAC & Bronchiectasis Support Group.

@anniepie

Hi people, how long do you all have to wait for results from your sputum tests or bronchoscopies to see if you still have NTM in your lungs ?
I've often waited 8 or 9 weeks to get the results. It drives me crazy waiting so long !
(And it sucks too -- instead of doing the 100 year old dish-culturing tests they do in Australia, they could do Real-time PCR tests with a much shorter waiting time for results. They are not very kind to us !)

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@anniepie I had my sputum test Jan 7, and I'm still waiting for results.

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@cavlover

My flutter does not connect to my nebulizer. My doctor doesn’t use the aerobica.

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You can buy it yourself online to try, no Rx needed. My second one came from eBay in sealed package for under $50.
Sue

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@cavlover

Hi Sue, do doctors do a sputum test when diagnosed with bronchiectasis even if you don’t have any symptoms?

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Hmm, I guess that would depend on the doc, the appearance of your lungs, and your history. My current ID & pulmo docs only test if you have symptoms, even though I have a history of MAC & pseudomonas. My daughter's doc tested because she had puzzling symptoms, but after a long wait determined no MAC or pseudo.
Sue

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@sueinmn

Hmm, I guess that would depend on the doc, the appearance of your lungs, and your history. My current ID & pulmo docs only test if you have symptoms, even though I have a history of MAC & pseudomonas. My daughter's doc tested because she had puzzling symptoms, but after a long wait determined no MAC or pseudo.
Sue

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Dear Sue,

Hello, and thank-you for your reply. You have so many helpful things to say, and it is greatly appreciated. Did your daughter ever find out what it was that caused/causing the condition?

I was researching the hyperlucent lungs--which were never detected before all this started...the lung x-rays were always normal the few times they were taken over the years. So, maybe that is a clue in itself. However, two pulmo docs later, and they have never said a word about the hyperlucent meaning anything.

Isn't it true that if a person has MAC, even while on antibiotics, the condition is still detectable (especially if they are still having symptoms) in the sputum and a CT? The reason I am saying this is because maybe the fact I am taking antibiotics has affected the CT scan in some way. After reading many entries on this great site, it seems that even while on antibiotics, the condition is still detectable unless cured. As for my CT scan, maybe the hyperlucent IS the clue for me having MAC?

Hopefully, the doctor will still test me for MAC. It is already disappointing that she--the infectious disease doctor--told me I do not have MAC, based on one sputum test. The fact that I had to remind HER, that it takes several sputum tests, is very worrisome. Will find out next week what the doctor will do to help me. One thing is sure, if someone does not help figure this out, I can not see living more than a few years. It is draining and exhausting, plus I have been on antibiotics now for almost one year. That can't go on and on.

Thank-you again for your helpful advice.

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@glendamoseley1

Not sure if this helps at all, I was always dry until my Dr had me hook my aerobika to my nebulizer when I nebulize 7% saline. It made a big difference!

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On the topic of nebulizer/Aerobika use. I use the two attached to each other with 3% saline. I do this while simultaneously running my vest for 30 minutes. My pulmonologist recommended this approach. Mucus often comes up after the first 10 minutes and continues later in the vest/saline/Aerobika treatment. Sometimes there is nothing substantial until after the treatment or when I subsequently nebulize Perforomist. If I drink water or a citrus drink after the treatment, that seems to help bring up the mucus. With brochiectasis and a pseudomonas colonization, my lungs are producting a lot of mucus. I'm only taking azithromycin at this time. I've been off other antibiotics for the pseudomonas for at least 6 months. I'm convinced that keeping my lungs clear of a mucus breeding ground with this vest/saline/Aerobika treatment is the reason. Have others followed this or a similar approach and share my speculation about effects?

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Dr. Huitt from National Jewish is adamant about not taking azithromycin on its own. Can lead to resistance to this very important drug.

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@anonymous217382

Dear Sue,

Hello, and thank-you for your reply. You have so many helpful things to say, and it is greatly appreciated. Did your daughter ever find out what it was that caused/causing the condition?

I was researching the hyperlucent lungs--which were never detected before all this started...the lung x-rays were always normal the few times they were taken over the years. So, maybe that is a clue in itself. However, two pulmo docs later, and they have never said a word about the hyperlucent meaning anything.

Isn't it true that if a person has MAC, even while on antibiotics, the condition is still detectable (especially if they are still having symptoms) in the sputum and a CT? The reason I am saying this is because maybe the fact I am taking antibiotics has affected the CT scan in some way. After reading many entries on this great site, it seems that even while on antibiotics, the condition is still detectable unless cured. As for my CT scan, maybe the hyperlucent IS the clue for me having MAC?

Hopefully, the doctor will still test me for MAC. It is already disappointing that she--the infectious disease doctor--told me I do not have MAC, based on one sputum test. The fact that I had to remind HER, that it takes several sputum tests, is very worrisome. Will find out next week what the doctor will do to help me. One thing is sure, if someone does not help figure this out, I can not see living more than a few years. It is draining and exhausting, plus I have been on antibiotics now for almost one year. That can't go on and on.

Thank-you again for your helpful advice.

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Hello Connie @anonymous217382 My quest for a diagnosis of a chronic cough began 5 years ago with a chest Xray. The radiologist's impression was that the Xray showed "hyperinflated lungs suggestive of underlying COPD". But my PCP told me it was because of my anatomy (tall and thin) and was actually within normal. In your case maybe this could explain what they are calling hyperlucent lungs. 3 years later I was finally diagnosed with Bronchiectasis on a CT chest scan, then MAC was confirmed with a culture. Bill

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@cmi

My results on sputum from Bronchoscopy done October 2, 2020...were given to my pulmo & id docs in FEBRUARY 2021. I had given up figured some lab rat (overwhelmed during covid pandemic) dropped, lost, or flushed my sputum culture inadvertently. My docs were diligent in requesting the lab (somewhere in Texas) to give the sensitivity results...the AFB came back lighting quick so they knew I had MAC...it was the sensitivity that was the hold up. End of story was...in February they find out that I have 2 species of Avium camped out in my lungs. Lucky for me..they are not resistant to Azithromycin...so I continue on the 3 drugs. Four months is a long time to wait...now I’m curious about PCR...will ask my docs next time they culture my sputum. Not looking forward to that because I am totally bone dry...have no idea how they propose to get another sample other than by Bronchoscopy.
Best wishes for all of us.
Regina

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Good luck Regina@cmi. It does sound like you'll need a bronchoscopy to do follow-up culture tests in future. That seems to delay results a lot because you're trying to get info out of a hospital, not just a lab.
Annie.

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@ginak

@anniepie I had my sputum test Jan 7, and I'm still waiting for results.

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Yep it sucks Gina @ginak
Good luck when the results finally do come in

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@glendamoseley1

Not sure if this helps at all, I was always dry until my Dr had me hook my aerobika to my nebulizer when I nebulize 7% saline. It made a big difference!

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Thanks Glenda @glendamoseley1 -- that's really interesting. (I've wondered if mucus is just 'stuck' down in my lungs and not coming out}. I will talk to my pulm about this when I see her later in March.

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