Fungal culture
I recently had a bronchoscopy with bronchoalveolar lavage to get lung fluid to test for mac. Along with acid fast culture for mac , a fungal culture is also in progress. My question is how long does it take to process results for fungal culture? Also, what fungal species are usually tested in fungal culture? And lastly, if fungus is found, are they usually treated? Is the treatment lenghty like mac? Thank you
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I can only speak from personal experience. My fungal cultures are resulted in about a week and have shown apergillus pretty consistently while I had MAC. I asked my ID doctors (one local, one at NJH) if they would treat it and both said no. I finished my MAC antibiotic treatment last June and at this time negative for both MAC and aspergillus. Fingers crossed!
That's great, 7 months negative for both. Another encouraging story!
Not sure if you mentioned this in another thread, however, if you have time.
1. Was this your first time on the antibiotics?
2. How long were you on them?
3. Were you on the typical three or two etc. etc.
Barbara
I've only been on the Abx once but for 18 months. After 6 months on the Big 3 I was still positive for MAI so my doctor took me off rifampin and replaced it with Arikayce. He also wanted me on clofazimine but I declined. I converted to negative after 2 months and then of course took the 3 of them for another year. Negative now and working really hard to keep it that way!
Reading the other comments is interesting because of the differing responses!
I have MAC that was treated with the Big 3 for 18 months three years ago, but it didn't work. I have CTs every 6 months now to monitor it. A recent questionable CT made me have a bronchoscopy. It confirmed I still have MAC and now have aspergillus too. (The fungus was confirmed in about a week.) My ID doctor firmly recommended I begin voriconazole for the aspergillus for at least 3 months when it will be checked again. He said he will begin retreating the MAC if and when the aspergillus is gone. The voriconazole is giving me lots of side effects.
Declined clofazimine and you did just fine. Again, we also have to be a big part of the decision making for ourselves.
Sorry I again read the other post and now have this question.
Did you mean they said they wouldn't treat the apergillus but yes they will treat the MAC and just with the antibiotics for treating MAC...... it took care of both MAC and apergillus?
Barbara
Hello thanks for your response. Now sure if my doctor is doing some different fungal test as its been 11 days and still no results.
My fungal culture tests reads:
Fungal Culture - non-hair/nail/skin/bld)
Fungal cultures can take up to 28 days before final results, since some fungi grow slowly. Had one in 2010. Showed a fungi after about three weeks, and it was identified shortly thereafter. Decided not to treat since my symptoms were improving. Best of luck to you.
Usually MAC and fungus aren’t at the same time so you will probably have one or the other. MAC takes forever to come back. A fungal infection diagnosis comes back quickly. A fungal infection like pseudomonas often follows MAC. Good luck. irene5
Aspergillosis is easier to treat and cure than MAC. MAC and Aspergillosis are treated with different meds. I have never heard of having MAC and aspergillosis at the same time. Irene5
Pseudomonas is a bacteria not a fungus.