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Aspergillus after Bronchiectasis/MAC

MAC & Bronchiectasis | Last Active: Jul 8 8:42am | Replies (22)

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@liangni1

I am 79years old. I was diagnosed Bronchiectasis 7 years ago and MAI at end of 2022. The reason brought me to seek a pulmonologist help was I found my sputum had tiny blood spots. Augusta University hospital pulmonologist Dr Gonzales had been my doctor since. After a series of examinations I was diagnosed with MAI. By then there was a clinic group I could join al because my hemolysis I was so concerned I refused the chance of clinical trial instead I agreed starting big 3 treatments. 6 months later added Aricyce treatment due to continued MAI culture positive. I tolerated the treatment well and got 12 times continually negative culture reports. But I still feel tired and bloody spotting often happens in my sputum. Ct scan shows my right lung inflammation was worsen .my Dr ordered bronchoscope which finds Asbergillus infection. I received Voriconazole treatment since then, At first few days of treatment I felt very sick (I think the fungus infection was flared up) but gradually I felt better and blood spotting all stopped Up to now 35 days . My anti fungus treatment totally would be 6-8 weeks depending my condition and side effects I have. This my experience of MAI and Asbergillus infection. Only after Asbergillus infection started under control my sputum turned white and no blood. I feel much better now.

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Replies to "I am 79years old. I was diagnosed Bronchiectasis 7 years ago and MAI at end of..."

So, Asbergillus infection. did not show in your routine sputum culture?

Thanks for sharing your experience and hope you continue to feel better.

Liangni1, I am very similar, but have been on voriconazole for 18 months now.