Aspergillus with MAC
Has anyone else picked up aspergillus (pulmonary fungal infection) while being treated for MAC? MY ID doc has it on watch because it can't be treated while I am being treated for the MAC, due to drug interactions. It doesn't help that my local clinic threw out my last two culture specimens for fungus because there was not enough for AFB cultures even though I wrote on big Sharpie twice on the second one was for fungus. I also have colonized pseudomonas, and am not currently being treated for that.
If you do have this situation, how has your doc been handling it?
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@teriwalker The Hypoxia is disconcerting, isn’t it?
That sounds awful. I'm glad you're still exercising. I'm convinced regular exercise helps us stave off the worst.
@brigby Yes! It is disconcerting. I hate that the spirit wants to do so much and the body says NO!
@franthony Hi. This is how the inhaled saline can be beneficial. The saline is 7% sodium chloride. It is inhaled as a mist by using a nebulizer. The benefits are that it adds moisture to the phlegm making it thinner and easier to cough up. Phlegm is often very sticky and clings to the insides of your lungs and bronchial tube. Thick phlegm is attractive to mac and pseudomonas. They look for goo to colonize in. Since you are not coughing, you may not need the saline at this point. You may want to discuss with your dr as to whether it would be a good prophilaxis (preventative measure).
@franthony This is a lengthy and technical article about proof of sodium chloride helping to eliminate various strains of organisms and bacteriums. You can print it out just the link address for your doctor to look up. I will isolate the one chart and send it separate so that you do not have to shuffle through all of the text. The charts are located near the end of the article. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4850692/
@franthony I do not cough but inhale saline as a preventative measure.
@windwalker I am sorry to hear that, I had no idea you were so short of breath and felt so bad you always sound so upbeat and helpful and often out bike riding in summer with your wee dog! We are so lucky to have you on here and really really appreciate all your help, an inspiration to us all. Friggin genetics, I have a CF gene, I guess you have been tested for that. I hope you Stay well over winter avoid those nasty bugs. Bring on a cure! Take care Heather
@heathert Thank you so much for the kind words. I had been doing really well, my shortness of breath just started getting worse over this winter. It has been bad before and then got a bit better, so I am optimistic that I can pull out of this. It is probably time for me to go into pulmonary rehab. I try to always be cheerful and upbeat, it is just how I like to be.
Here is the saline (sodium chloride) chart Across the top is the % (strength) of the saline. Down the far left column is the list of the bacteriums that it kills. The chart shows that 7% saline will help to kill back mac, and mai. I presently test negative on everything, but doing the saline treatment helps keep it away. I hope this helps you to understand why we use it.
I see my ID doc in three weeks, and will definitely bring it up. Thanks.