I had Aspergillus diagnosed a few years ago through sputum sample. At that time I knew I had Bronchiectasis but not MAC. I was sick with the same symptoms as a flare-up… cough, fever, fatigue. However, I am a rare bird who doesn’t produce sputum. I can only produce when I am sick.
When labs came back with Aspergillus, doc but me on low dose of prednisone for 3 months. That was it. I still show antibodies in my blood work for it to this day.
Hope this helps! Dee