MAC/MIA ?

Posted by fingerlessknitts @fingerlessknitts, Nov 9, 2023

What is the difference between MAC and MIA?
Searches show MAC/MIA
Can you have one without the other?
Tx

Interested in more discussions like this? Go to the MAC & Bronchiectasis Support Group.

@sueinmn

Hello, and welcome to Mayo Connect. We are a support community for patients and caregivers in our journeys with many different diseases and conditions.
What brings you to Connect?
Sue

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Caregiver for husband DX with MAC..

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@becleartoday

Hi there!
MAC stands for Mycobacterium Avium Complex. It is a group of 12 bacteria. MAI, Mycobacterium avium-intercellulare, is one of the bacteria in that group. The confusing part is that some medical professionals often use the terms "MAC" and "MAI" interchangeably.

Many laboratories do not have the ability to "sub-speciate" to determine which of the 12 MAC bacteria is infecting a person. That is why samples are often sent to higher-level labs like the ones at the Mayo, National Jewish Health and UT Tyler.

When I had a bronchoscopy in 2018, a sample was sent to National Jewish for sub-speciation and it was determined that the bacteria was m. intercellulare (MAI). So, in my case, the term MAI was not being used in a general sense, but rather based on my lab analysis.

Although I was able to clear the bacteria without antibiotics, if I had opted for the 3-drug treatment, it would have been identical to those being treated for m.avium, another bacterium in the Complex.

I hope this is helpful.
Linda Esposito

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Can you tell me how you cleared it without the big 3 please? I have opted to not do antibiotics and am using mullein, osha and diet. Thank you.

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@isabellad

Once the type of bacteria is determined does the treatment change?

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Your treatment is more likely to change based on your tolerance to the drugs, the severity and if your sputum cultures clear by 6 months

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@isabellad

I am curious to know what process you used to clear the bacteria without antibiotics.

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Lots of changes including diet, exercise, airway clearance and stress reduction.

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@sueinmn

Hello, and welcome to Mayo Connect. We are a support community for patients and caregivers in our journeys with many different diseases and conditions.
What brings you to Connect?
Sue

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Mild cylindrical bronchitis MAI infection

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@pamelamathisyon

Mild cylindrical bronchitis MAI infection

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Welcome, I am not familiar with cylindrical bronchitis? MAI (mycobacteria avium intracellulare) is just one of the similar infections included under the umbrella of MAC (mycobacteria avium complex)

When were you diagnosed? Have you found a pulmonologist familiar with MAC to manage your care?

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@sueinmn

Welcome, I am not familiar with cylindrical bronchitis? MAI (mycobacteria avium intracellulare) is just one of the similar infections included under the umbrella of MAC (mycobacteria avium complex)

When were you diagnosed? Have you found a pulmonologist familiar with MAC to manage your care?

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No . This is new . Not sure how to proceed. The inhaler caused Thrush . I am not well from a virus .

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@pamelamathisyon

No . This is new . Not sure how to proceed. The inhaler caused Thrush . I am not well from a virus .

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Cylindrical bronchiectasis is one form of the disease. You can read a little about it here:
https://my.clevelandclinic.org/health/diseases/21144-bronchiectasis
Which inhaler has been prescribed that caused thrush?
How were your MAC infection and bronchiectasis diagnosed? By a CT scan, x-ray, sputum culture?
The first step with this diagnosis is to see a pulmonologist, preferably one who is familiar with bronchiectasis.
Sue

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@janemiller

Can you tell me how you cleared it without the big 3 please? I have opted to not do antibiotics and am using mullein, osha and diet. Thank you.

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Hello jenn. How do you use mullein. I heard about it on this forum and actually bought a dry form yesterday. But how do you prepare it and how do you drink it? Thank you lilianna mika

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@lilianna

Hello jenn. How do you use mullein. I heard about it on this forum and actually bought a dry form yesterday. But how do you prepare it and how do you drink it? Thank you lilianna mika

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I drink the tea with honey and take the capsules.

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