Any Success Stories for Mycobacterium Intracellular?

Posted by mark1952 @mark1952, Oct 4, 2025

73 year-old male here. Just got my initial lab result of Mycobacterium Intracellular disease. It will take time to grow and identify the specific strain. I am not aware of any comorbidities. 150 lbs. 6'1". Have almost no symptoms, just an occasional cough with a bit of white or clear sputum, occasionally a tiny spec of very pale yellow. Any success stories out there for this? Thanks so much!

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Profile picture for mark1952 @mark1952

@blm1007blm1007
Barbara, thanks so much for sharing your great news! And Happy 83rd Birthday! 🎂 I hope your low or absent mycobacterium means you are breathing well and feeling good! Best Wishes!

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@mark1952 Thank you for the cake, 😉. I am breathing better since doing air way clearance. I do not get out of breath after having walked a short distance and then having to talk, This was happening before being diagnosed and not doing all we have to do for the BE, Bronchiectasis.
Barbara

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Profile picture for helen1000 @helen1000

@bayarea58 I tried VSL #3 a few months ago, and I did not feel well during that month, not sure whether it was related to VSL #3 but I stopped it. Very good reminder Bayarea58! How do you do?

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@helen1000 I am only ok, thanks for asking. Coming up on three months of treatment and it has been BUMPY. My spirits are low. One day at a time ... I know you have been grappling with difficult decisions. I think of you often and pray for the best for you.

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I have heard some stories for treatment success, either from regular MAC patients or patients with MAC cavities
(with surgery). There is always a chance!

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I have MAC/BE and a lung fungal infection. I stopped the Big 3 almost 3 years ago due to side effects and am on no meds -- at this point anyway.

You are only 73 years old and without many symptoms and I can only suggest you focus on your "good" life now and move on. This disease is slow growing and I will not wait around for its growth. I am 80 years old with no comorbidities. I do Aerobika twice daily w/o saline as I am prone to hemoptysis.

I felt the same way you do when I was first diagnosed with MAC Intracellular and thought "This is it!" That was 3 years ago! But it turns out that we people with few symptoms are quite fortunate. I keep busy, eat a Mediterranean diet, and walk 1-2 miles daily and enjoy my life over all. Admittedly, it is not ideal but one I can accept and enjoy.

Unless something major were to develop, which can happen even when you don't have a disease, I focus my days on positive thoughts and whatever life I have left will not go unfilled and my hope for you is the same! Best wishes!

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Profile picture for pmmar1 @pmmar1

I have MAC/BE and a lung fungal infection. I stopped the Big 3 almost 3 years ago due to side effects and am on no meds -- at this point anyway.

You are only 73 years old and without many symptoms and I can only suggest you focus on your "good" life now and move on. This disease is slow growing and I will not wait around for its growth. I am 80 years old with no comorbidities. I do Aerobika twice daily w/o saline as I am prone to hemoptysis.

I felt the same way you do when I was first diagnosed with MAC Intracellular and thought "This is it!" That was 3 years ago! But it turns out that we people with few symptoms are quite fortunate. I keep busy, eat a Mediterranean diet, and walk 1-2 miles daily and enjoy my life over all. Admittedly, it is not ideal but one I can accept and enjoy.

Unless something major were to develop, which can happen even when you don't have a disease, I focus my days on positive thoughts and whatever life I have left will not go unfilled and my hope for you is the same! Best wishes!

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@pmmar1

Thanks so very much for sharing your status. I completely agree with you. My only symptom is some occasional mild coughing with very small amounts of white/clear slippery sputum. I have a CT chest scan in two weeks to see if the Ciprofloxacin helped the psuedomonas, which I believe it did. My crazy busy pulmonologist keeps giving me dark looks saying we need to start the big 3 antibiotics. I am not onboard with risking the adverse, often serious, and sometimes permanent, side effects right now, when I am enjoying a pretty darn good quality of life. Thanks again. I hope your decent quality of life continues for you! 🤞🏻🙏🏻

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Profile picture for mark1952 @mark1952

@pmmar1

Thanks so very much for sharing your status. I completely agree with you. My only symptom is some occasional mild coughing with very small amounts of white/clear slippery sputum. I have a CT chest scan in two weeks to see if the Ciprofloxacin helped the psuedomonas, which I believe it did. My crazy busy pulmonologist keeps giving me dark looks saying we need to start the big 3 antibiotics. I am not onboard with risking the adverse, often serious, and sometimes permanent, side effects right now, when I am enjoying a pretty darn good quality of life. Thanks again. I hope your decent quality of life continues for you! 🤞🏻🙏🏻

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@mark1952
I never heard of a CT being able to show if Pseudomonas is gone. I think it has to be a sputum test.

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Profile picture for irenea8 @irenea8

@mark1952
I never heard of a CT being able to show if Pseudomonas is gone. I think it has to be a sputum test.

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@irenea8
Agreed. Assuming some of the pulmonary nodules might be caused by the psuedomonas, I was hoping perhaps there might be fewer nodules on this scan. Unfortunately, my situation is murky because I think mycobacterium intracellular and bronchiectasis also cause pulmonary nodules. So I don't really know what, if anything, I will learn from the CT scan. Presumably there is a reason the pulmonologist ordered the scan. Hopefully, he will explain how it is meaningful. If the radiologist's observations just say "general worsening," as the last scan in August said, then I am sure the pulmonologist will say I need to start the Big 3 antibiotics immediately.

It is unclear to me whether the doctor ever had susceptibility testing done on my strain of pseudomonas from the lavage fluid from the bronchoscopy, if that is even possible. They have never asked me for a sputum sample. As a patient, I have so many questions and, unfortunately, I have a doctor who does not like to answer questions. They're aren't many options for pulmonologists in my area of NE FL. There is the Mayo Clinic in Jacksonville but my understanding is that they do not accept United Healthcare insurance. I am considering switching back to original Medicare, which Mayo does accept. I don't know what the wait time would be to see someone there. Thanks so much for your input. Best Wishes to you!

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Profile picture for mark1952 @mark1952

@irenea8
Agreed. Assuming some of the pulmonary nodules might be caused by the psuedomonas, I was hoping perhaps there might be fewer nodules on this scan. Unfortunately, my situation is murky because I think mycobacterium intracellular and bronchiectasis also cause pulmonary nodules. So I don't really know what, if anything, I will learn from the CT scan. Presumably there is a reason the pulmonologist ordered the scan. Hopefully, he will explain how it is meaningful. If the radiologist's observations just say "general worsening," as the last scan in August said, then I am sure the pulmonologist will say I need to start the Big 3 antibiotics immediately.

It is unclear to me whether the doctor ever had susceptibility testing done on my strain of pseudomonas from the lavage fluid from the bronchoscopy, if that is even possible. They have never asked me for a sputum sample. As a patient, I have so many questions and, unfortunately, I have a doctor who does not like to answer questions. They're aren't many options for pulmonologists in my area of NE FL. There is the Mayo Clinic in Jacksonville but my understanding is that they do not accept United Healthcare insurance. I am considering switching back to original Medicare, which Mayo does accept. I don't know what the wait time would be to see someone there. Thanks so much for your input. Best Wishes to you!

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@mark1952
Here is a discussion regarding a list the Care Centers in the US in case it may be helpful to you.
https://connect.mayoclinic.org/discussion/the-bronchiectasis-care-center-network-33-centers/

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I was able to clear intercellulare after 2.5 years. I found that I felt well enough living with it by focusing on nutritious eating, adding a little weight, keeping up with airway clearance and exercise, and managing stress.
Wishing you all the best,
Linda Esposito

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Profile picture for mark1952 @mark1952

@irenea8
Agreed. Assuming some of the pulmonary nodules might be caused by the psuedomonas, I was hoping perhaps there might be fewer nodules on this scan. Unfortunately, my situation is murky because I think mycobacterium intracellular and bronchiectasis also cause pulmonary nodules. So I don't really know what, if anything, I will learn from the CT scan. Presumably there is a reason the pulmonologist ordered the scan. Hopefully, he will explain how it is meaningful. If the radiologist's observations just say "general worsening," as the last scan in August said, then I am sure the pulmonologist will say I need to start the Big 3 antibiotics immediately.

It is unclear to me whether the doctor ever had susceptibility testing done on my strain of pseudomonas from the lavage fluid from the bronchoscopy, if that is even possible. They have never asked me for a sputum sample. As a patient, I have so many questions and, unfortunately, I have a doctor who does not like to answer questions. They're aren't many options for pulmonologists in my area of NE FL. There is the Mayo Clinic in Jacksonville but my understanding is that they do not accept United Healthcare insurance. I am considering switching back to original Medicare, which Mayo does accept. I don't know what the wait time would be to see someone there. Thanks so much for your input. Best Wishes to you!

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@mark1952
The CT is probably more for the MAC. Too bad about your Pulmo. I do not care for Drs that do not like questions! Hope you can switch to Mayo. Meanwhile if you have questions those of us on this forum can do our best to try and answer them. I have a Pulmo who has answered so many questions patiently.

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