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Lung cavities after covid: MAC or covid?

MAC & Bronchiectasis | Last Active: Jul 16, 2023 | Replies (18)

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@bellsina71

I have a 3.7 CM cavity. I had woke up in January coughing up blood. I have been on azithromycin and ethambutol everyday. I have not been on rifampin because it will lessen the effect of another drug I take. I just had a CT scan done a month ago, it's been about 3 months since I've been on the antibiotics. All of the consolidation and nodules have cleared up and the walls of the cavity went from 15 mm to 5. I just started the Airakayce a couple weeks ago. I have not had any side effects at all. I haven't had any side effects with any of this. I don't cough I can breathe fine. I went and saw an allergist and she ran so many tests and all of them came back negative, I had a pulmonary test done and they said mild obstruction from probably smoking but she said it was so mild that it actually would be in the normal range had they not ever known I smoked. There doesn't seem to be a lot of rhyme or reason why I got this. But I decided to take the airkayce because I have the cavity and because I couldn't be on the third drug that people with cavitery Mac should be on. I think most people take it when they're not responding to other drugs and honestly I don't even know if I'm doing the right thing. I'm just doing what my doctors telling me to though and as long as I'm not having any horrible side effects I would rather do what I can so it doesn't get worse or the cavity doesn't get larger, etc. It has to be a personal choice though. I will say being on the nebulizer is a bit of a pain though.. it's a process that takes about 40 minutes every day. I really hope the results will be worth it though. Good luck with everything. You can always increase the drugs or decrease them depending on how you're feeling and what's working or not working for you.
Angela

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Replies to "I have a 3.7 CM cavity. I had woke up in January coughing up blood. I..."

I'm sorry just wanted to add that it would be really hard to know if it's covid related or not unless you had a CT scan done prior to covid and there was nothing that was showing any nodules or the beginning of a cavity, etc... I haven't had a long CT since 2011 prior to this year and that 2011 CT scan actually showed small little nodules right where the cavity had formed. My doctor couldn't say for sure but he said that there was a possibility that that was the beginning of it way back then. He doesn't know positively but he said I've had it for years, and that being said he told me that it was a very mild case. Even with the cavity that large. Crazy?!?! Doesn't seem right to me but I'm not a doctor.
Angela

My case is very similar. Mac/cavitation treated for 3 years, a 6 month break now fungal infection/cavitation treatment for the past year. While the infections may change, my cavitation is permanent. I have/had an unbelievable number of Dr's, mes's and tests. But I do well, I have learned to live with it and lead a semi-normal life.