A new diagnosis of Mycobacterium abscessus

Posted by Nancy @nlee1954, 1 day ago

I’ve had BE and MAC for 3-4 years. I started on the big 3 last Spring but had to quit because of the terrible side effects.
A couple of weeks ago my sputum grew
Mycobacterium abscessus. I’d like to have anyone here who has been diagnosed with this to share their experience. Thank you!

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@kathyjjb
I so appreciate the information on your experience.
I do have a good Mayo pulmonary doctor. For now, (until he gets 3 positive cultures,) I’m doing airway clearance with 0.9% saline and levalbuteral. I had so much trouble last year when the airway clearance was causing lots of inflammation, increased cough, etc, so after experimenting with different saline, etc, this is what was suggested.
I’ve read a bit on MABC, but didn’t even know what questions to ask.

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@nlee1954 MABC is a challenge to cure, difficult but my ID doc says not impossible. Let’s keep positive that we will be in the percentage of patients who overcome this bug!

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@nlee1954 I just responded to farfalina about treating MABC with a virus along with the antibiotics. Dr Daly (NJH) had mentioned the treatment in one of his BE/NTM videos. My sister has a friend that is getting that treatment now. I'm hoping to talk to her sometime and will post any good info. It sounds like the antibiotics were unsuccessful and she sought out a clinic (don't know details) that is now giving her the matched virus via IV along with antibiotics.

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@kathyjjb
I had to read it a couple of times about treating it with a virus. Do you know what virus, (maybe a dumb question)

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Profile picture for farfalina @farfalina

@kathyjjb thanks. I will look into this. Interesting for sure!

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@farfalina It's called "PHAGE" Therapy. Sorry, they are viruses but it's called phage. I did do a little research and learned that they are now only approved for those where antibiotics have not helped and the disease has seriously progressed. Not yet, FDA approved for standard treatment. I hope that in 5-10 years it will become standard treatment so that antibiotic treatment will be more successful.

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@kathyjjb
I had to read it a couple of times about treating it with a virus. Do you know what virus, (maybe a dumb question)

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@nlee1954 It's called Phage Therapy. All I know is that Companies are creating phage banks. The virus or phage would be specific to the exact genetic makeup of the NTM strain. Sounds like there's a lot of NTM variance if a "bank" of these phages need to be collected and stored. I did listen to a youtube presentation and the founder of one of the phage banks spoke about looking in the environment for these natural occurring phages.

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