MAC contagious question

Posted by jkarson003 @jkarson003, Sep 5, 2025

I have been told and read that MAC is not contagious person to person. This is adverse to my logical thinking. If you could spit live bacteria into samples to go to culture and if it's in your sputum, how can it not be contagious person to person if someone sneezes on you or somehow spreads through touching of areas where coughing or human vapors occur?
How could bacteria get into dirt, then subject inhale dust and contract when direct vapors will not cause infection?

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From what I have read only people with certain health issues can contract MAC. Lung problems and immune disorders.

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Profile picture for Sue, Volunteer Mentor @sueinmn

Chronic inflammation is a recently recognized factor in cardiovascular disease. Here is an article I bookmarked a few years ago when my cardiologist mentioned the connection:
https://pmc.ncbi.nlm.nih.gov/articles/PMC8315628/
Here is the opening paragraph:
"Inflammation constitutes a complex, highly conserved cascade of molecular and cellular events. Inflammation has been labeled as “the fire within,” is highly regulated, and is critical to host defense and tissue repair. In general, inflammation is beneficial and has evolved to promote survival. However, inflammation can also be maladaptive when chronically activated and sustained, leading to progressive tissue injury and reduced survival. Examples of a maladaptive response include rheumatologic disease and atherosclerosis. Despite evidence gathered by Virchow over 100 years ago showing that inflammatory white cells play a role in atherogenesis, atherosclerosis was until recently viewed as a disease of passive cholesterol accumulation in the subendothelial space. This view has been supplanted by considerable basic scientific and clinical evidence demonstrating that every step of atherogenesis, from the development of endothelial cell dysfunction to foam cell formation, plaque formation and progression, and ultimately plaque rupture stemming from architectural instability, is driven by the cytokines, interleukins, and cellular constituents of the inflammatory response. "

Isn't it amzing how inter-connected every facet of health and well-being is?

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Not surprised. When our immune system is compromised, it’s an open house!

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Profile picture for lilbit59 @lilbit59

From what I have read only people with certain health issues can contract MAC. Lung problems and immune disorders.

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And then there are people like me who have no lung problem history, strong immune system, healthy, active, rarely ever sick, no medications and we get it. Go figure.

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Profile picture for detsdum @detsdum

And then there are people like me who have no lung problem history, strong immune system, healthy, active, rarely ever sick, no medications and we get it. Go figure.

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Did you have some heavy exposure by any chance such as breathing ALOT of soil etc?

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Profile picture for jkarson003 @jkarson003

I'm talking about coughing on anybody, not just healthy people. My wife got MAC after sitting next to a hacking cougher on a plane, but they say not communicable.

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@jkarson003 that is my fear! I know , last summer someone who was diagnosed BE and MAC was coughing a lot around me the whole weekend and shared a meal with me before she told me she actually had Mac.
I am now afraid I might have MAC. it was posted as a possible ideology for my pneumonia on my chest x-ray. Can this be transferred for sharing a meal? Or is it just droplets?

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