Is there any successful story?

Posted by helen1000 @helen1000, Jan 20, 2025

My pulmonologist says MAC is rarely cured. But I was also told that less than 30% patients can be fully cured without any reinfection, relapse or recurrence. Is there any success story that someone can successfully manage MAC without recurrence or relapse by AWC over 5 years, 10 years or 20 years? And also without any other lung infection like other bacteria or fungus?

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Profile picture for visions63 @visions63

@helen1000 ….thanks so much for your reply .I weigh 86 lbs and am 79 years old .i have to be on 5 antibiotics,one is I.V .In the past I’ve had CDiff 2 times ,so I need to take Vancomycin with the other 4 to prevent CDiff again .
I know that I would not be able to survive with this regiment for two years of treatment…..I also have a heart condition and many GI problems that I’ve been hospitalized with .This surgeon in NYU said that it would be any easy robotic wedge procedure.This is my only hope ….btw …what does “ closed “ mean ??,you still have infection,right ???

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@visions63 The cavity was closed, or became a nodule now. So I dont have a cavity now. Sorry that you have to go through all of these. You can go to NJH for a second opinion? Dr, Mitchell is the best surgeon in NTM lung surgery.

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Profile picture for Sue, Volunteer Mentor @sueinmn

@visions63 Hello, there is no cure for Bronchiectasis, but NTM itself is curable. It can take a long time, and it may reoccur, either the same strain or a different one, but I feel like 6 years infection-free counts as a cure.

As for the cavitary mass, has a course of antibiotics, 6 months or longer, been tried to see if the mass will reduce without surgery?

Finally, there is a lot of ongoing research into managing bronchiectasis and NTM infections. You can read about some of it here:
https://bronchiectasisinfo.org/

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@sueinmn thank you! I am completely asymptomatic….my mass was found as an incidental finding on a chest x-ray. They want to treat my 3 cm cavitary mess with two years of therapy, which I cannot do. Because it’s an easy accessible mass to remove, I’m hoping that that will make my treatment easier with less antibiotic use .You are the first person who mentioned a cure …..I think that is fantastic!!!

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Inhaled nitric oxide (iNO) has shown potential to kill or reduce non-tuberculous mycobacteria (NTM) infections, particularly when used at high concentrations as an adjunctive, at-home therapy. Early studies indicate that intermittent, high-dose iNO can reduce bacterial loads, disrupt biofilms, and act synergistically with standard antibiotics, improving patient outcomes. ScienceDirect.com +5Key Details on Inhaled Nitric Oxide for NTM: Mechanism: High-dose (e.g., \(160-250\text{\ ppm}\)) nitric oxide has direct bactericidal effects, destroying microorganisms and potentially reducing, or in some cases eradicating, NTM.Clinical Evidence: Pilot studies, such as the "LungFit Go" study, have shown that at-home treatment can be safe, with some patients achieving negative sputum cultures after 3 weeks of treatment.Target Population: It is being investigated for treating refractory NTM pulmonary disease, including M. abscessus, which often resists conventional antibiotics.Potential Benefits: It may reach areas of the lungs that systemic antibiotics cannot, while also potentially reducing the need for long-term, multi-drug regimens. ScienceDirect.com +5

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https://pmc.ncbi.nlm.nih.gov/articles/PMC8557295/
Does anyone receive this NO treatment? It seems very promising.

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Profile picture for visions63 @visions63

@sueinmn thank you! I am completely asymptomatic….my mass was found as an incidental finding on a chest x-ray. They want to treat my 3 cm cavitary mess with two years of therapy, which I cannot do. Because it’s an easy accessible mass to remove, I’m hoping that that will make my treatment easier with less antibiotic use .You are the first person who mentioned a cure …..I think that is fantastic!!!

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@visions63 Are you aware that even after surgery, you will require many months of antibiotics? If the infection has progressed to the point of creating cavities, it is in other parts of your lung(s) as well and will not be eradicated by surgery.

Is your pulmonologist experienced in treating this rare infection, and the even more rare cavitary form of it?

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Profile picture for helen1000 @helen1000

@visions63 The cavity was closed, or became a nodule now. So I dont have a cavity now. Sorry that you have to go through all of these. You can go to NJH for a second opinion? Dr, Mitchell is the best surgeon in NTM lung surgery.

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@helen1000 …but you still have the infection ??the cavity xisted with necrotic tissue inside .I don’t understand that’s destroyed lung tissue and I don’t understand how destroyed lung tissue can come back????

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Profile picture for visions63 @visions63

@helen1000 …but you still have the infection ??the cavity xisted with necrotic tissue inside .I don’t understand that’s destroyed lung tissue and I don’t understand how destroyed lung tissue can come back????

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@visions63 I believe I do. My culture turned negative after 7 months of antibiotics, But I believe the infection is not completely gone. I am still taking antibiotics now.

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Profile picture for Sue, Volunteer Mentor @sueinmn

@visions63 Hello, there is no cure for Bronchiectasis, but NTM itself is curable. It can take a long time, and it may reoccur, either the same strain or a different one, but I feel like 6 years infection-free counts as a cure.

As for the cavitary mass, has a course of antibiotics, 6 months or longer, been tried to see if the mass will reduce without surgery?

Finally, there is a lot of ongoing research into managing bronchiectasis and NTM infections. You can read about some of it here:
https://bronchiectasisinfo.org/

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Thanks so much. Staring all of the side effects in the face is so daunting it helps to hear.

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Profile picture for lauraadam2425 @lauraadam2425

I was 74 when first was diagnosted and they thought I had had it for 7 years prior. I was put on the big 3 and then had to stop one because of eye problems. Then they substituted it with Ayricase which after a year I couldn't stop coughing so off that. I had continuous sputum tests and xrays but finally at age 77 I beat it! I know at any time it can reappear but I live one day at a time and greatful for each one. I am now 79 and no reacurance. Just stick in there and be hopeful. Everyone is different but you have a great support staff on this site so use their experiences and help. Good Luck and stay positive!

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@lauraadam2425 If you happen to see this because your post was from last month, just a question. Were you on the Big 3 every day or every other day as some are? I was on it every other day and was MAC free after a bronch 4 months later. After 14 months on meds and due to bad side effects I stopped. MAC came back 3 months later. In watch and wait mode now.

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