← Return to Possible coinfection by microplasm treat w/Doxycycline

Discussion
Comment receiving replies
@sueinmn

@dispatchpat Did he give any indication why he was thinking mycoplasma (pneumonia)? Like lung congestion or ground glass appearance on an x-ray? If so, in someone with suspected MAC, doxycycline is the drug of choice.

Like @cwal, I would prefer a culture first, but with bronchiectasis we are susceptible to it with any kind of respiratory flare. And he may have good reason to suspect and treat it. As a matter of fact, my pulmonologist has given me an open Rx for doxy, to be used if I have a flare that seems to be deteriorating into a lung infection. My instructions are to fill the Rx and start taking it while waiting for a consult (either in person or virtual) with her. And further, "Don't go to Urgent Care and let them give you azithromycin."

Jump to this post


Replies to "@dispatchpat Did he give any indication why he was thinking mycoplasma (pneumonia)? Like lung congestion or..."

Thank you. Well, as is obvious, confusion bounds, and not enough information on my part so your insight was motivational. I went to my chart and started asking my pulmonologist questions and she pulled me in for a chest x-ray and threw in a mini lung capacity test as well. No sign of pneumonia, and reversed doxycycline recommendation.
It looks like I’ll be adding an albuterol/nebulization session to my Airway clearance practices. Let’s see if that helps! Again, thanks for insight. Really appreciate it.

Why no azithromycin??