(MAC/MAI) MYCOBACTERIUM AVIUM COMPLEX PULMONARY DISEASE/BRONCHIECTASIS

Posted by Katherine, Alumni Mentor @katemn, Nov 21, 2011

I am new to Mayo online .. I was hoping to find others with .. MYCOBACTERIUM AVIUM COMPLEX PULMONARY DISEASE (MAC/MAI) and/or BRONCHIECTASIS. I found only 1 thread on mycobacterium accidently under the catagory “Lungs”. I’m hoping by starting a subject matter directly related to MYCOBACTERIUM AVIUM COMPLEX PULMONARY DISEASE (MAC/MAI) I may find others out there!

I was diagnosed by a sputum culture August 2007 (but the culture result was accidentally misfiled until 2008!) with MYCOBACTERIUM AVIUM COMPLEX PULMONARY DISEASE (MAC/MAI) and BRONCHIECTASIS. I am now on 5 antibiotics. Working with Dr. Timothy Aksamit at Rochester Mayo Clinic .. he is a saint to have put up with me this long! I was terrified of the treatment . started the first antibiotic September 3, 2011 … am now on all 5 antibiotics for 18 mos to 2 years. Am delighted at the very bearable side effects!

I wrote on the 1 thread I found: If you google NON-TUBERCULOUS MYCOBACTERIUM AVIUM COMPLEX PULMONARY DISEASE (MAC/MAI) you will learn a LOT about the disease. But PLEASE do NOT get scared about all the things you read .. that is what I did and nearly refused to do the treatment until after a 2nd Micomacterium was discovered! Educate yourself for “due diligence” .. but take it all with a grain of salt .. you are NOT necessarily going to have all the terrible side effects of the antibiotics! Good luck to you!

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January 2017 Update

One of our great Connect Members .. @Paula_MAC2007  .. had a wonderfully helpful idea that I wanted to share! Her idea .. as you read through the pages to gather information on our shared disease of MAC you can develop a personal “file cabinet” for future reference without the necessity of reading all the pages again!

If you have the “MS Word” program on your computer:

  1. Document Title Example:  Mayo Clinic Connect MAI/MAC Information
  2. Then develop different categories that make sense to you such as:  Heath Aids .. Videos .. Healthy Living .. Positive Thinking .. Baseline Testing and Regular Testing .. Antibiotics ..
    Tips for
  3. As you read the pages .. copy/paste/save things of interest into that MS Word document under your preferred categories for future reference.

Then as you want to refer back to something in the future .. YEAH!  You have now created your own personal “file cabinet” on MAC/MAI!  Go to it!

KateMN

@xfirerose

I also have common variable Immunodeficiency ,(CVID) as well as MAC. I tried the 3 antibiotics and was not able to tolerate two of them. So I was discontinued. Now my lungs have gotten much worse. My pulmonologist is referring me to UCLA for treatment. I have also developed Bronchiectasis from the MAC infection. I do not know anyone with CVID. Does anyone on this discussion have CVID?

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@xfirerose, Hi. I had asked you in another post if you could take antibiotics since you were also on the immunoglobin therapy. I never took the 'Big 3', my Mayo dr put me on monthly antibiotics. For 10 days one month, I'd take ciprofloxacin, then on alternating months, I'd take doxycycline for ten days. A yr later I tested negative for mac, but stayed on those two meds for two more yrs to keep the mac away. That was in 2013. I test negative to this day.(I was severely ill) Perhaps you can tell my story to your doctor and be sure to tell him\her that this treatment plan came from a Mayo pulmonologist. I want you to mention that because Mayo physicians are highly respected. They are the cream of the crop in medicine. Without knowing your susceptibility test results to treat mac, my exact two antibiotics may not work for you, but perhaps another pair would. The meds are given alternately to prevent resistance.. One more thing, your dr can call your insurance company and/or Medicare and tell them that they need to make an exception for you to go to Mayo due to you having a rare disease. Sometimes, they can get that through. @alleycatkate was able to flip hers and got into the Mayo. Please keep me posted on what they decide for you

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Good morning all, My husband just had a sputum test and once again the results are pseudomonous aeruginosa. This time it is +3. Does anyone know the difference between +1, +2 and +3 pseudomonous? My husband also has MAC but is currently not taking anything because the big 3 caused him to lose quite a bit of weight and get very run down. We see the Infectious Disease and the Pulmonologist doctors next week.

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Hey goood morning guys, I hope everyone had a great thanksgiving. I’m so sorry to ask for help but I am so sick. I have a sore throat for more than a week now and I have tried anything that I read and heard. But I don’t know what do do. I cannot eat now and when I drink it hurts like really bad. I have Sjogrens and that caused a of dryness in my mouth and throat and only one vocal cord works. It’s bees a really rough week and I don’t know how to stop this. It causes my ears and head to also hurt. I am on Tobramycin and the nurse keeps telling me don’t stop but what do I do? Anyone any suggestions please help!!! I really appreciate it. Thanks Rita

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@america

Hey goood morning guys, I hope everyone had a great thanksgiving. I’m so sorry to ask for help but I am so sick. I have a sore throat for more than a week now and I have tried anything that I read and heard. But I don’t know what do do. I cannot eat now and when I drink it hurts like really bad. I have Sjogrens and that caused a of dryness in my mouth and throat and only one vocal cord works. It’s bees a really rough week and I don’t know how to stop this. It causes my ears and head to also hurt. I am on Tobramycin and the nurse keeps telling me don’t stop but what do I do? Anyone any suggestions please help!!! I really appreciate it. Thanks Rita

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hi America. have you been to your family Dr. To get your throats checked to make sure you don't have something else or strep.

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I have been to my family yesterday but this has been more than a week now. Oh my gosh I hope it’s not. I have an appointment tomorrow morning with my primary care doctor. Thank you for your quick response. Rita

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@america Maybe it is Thrush from the antibiotic. You may need a oral Nystatin Swish and Swallow or Mycelex troche. You should get checked. Maybe even Urgent Care.

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Thanks so much! I’m on the way to the urgent care. I have an appointment tomorrow but I can’t wait. Thanks so much Rita

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@heathert ….. in addition to a sore throat and loss of voice for s few days on the Arikace trial did you have any other side effects? My upper airways are irritated and feel raw almost like I have sharp razor blades in my lungs. I’ve been on Ariksyce now for 2 weeks. Also did you use a bronchial dialator and nebuluzr saline before each application? Thanks so much… since this drug is so new Doctors don’t have much advice or direction.

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@america

Thanks so much! I’m on the way to the urgent care. I have an appointment tomorrow but I can’t wait. Thanks so much Rita

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@america Hi Rita. Keep me posted…..feel better!

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@america

Hey goood morning guys, I hope everyone had a great thanksgiving. I’m so sorry to ask for help but I am so sick. I have a sore throat for more than a week now and I have tried anything that I read and heard. But I don’t know what do do. I cannot eat now and when I drink it hurts like really bad. I have Sjogrens and that caused a of dryness in my mouth and throat and only one vocal cord works. It’s bees a really rough week and I don’t know how to stop this. It causes my ears and head to also hurt. I am on Tobramycin and the nurse keeps telling me don’t stop but what do I do? Anyone any suggestions please help!!! I really appreciate it. Thanks Rita

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@america and @hydrang3a Heather has used throat lozenges called Strepfen and said they worked for her. They consist of concentrated honey and lemon. I used to eat spoons of honey when my throat hurt. Honey thick and soothing, and it is also a natural antibacterial.

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Hi guys! I went to the urgent care and I did a streptococcus test and it came back negative. But I have inflammation in my throat and it’s coming from drainage. I just got word from Mayo and I will need to stop my Tobramycin 🙁 I am not a happy camper but he knows best. I will keep you all posted and thanks for all the help.

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@windwalker

@america and @hydrang3a Heather has used throat lozenges called Strepfen and said they worked for her. They consist of concentrated honey and lemon. I used to eat spoons of honey when my throat hurt. Honey thick and soothing, and it is also a natural antibacterial.

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@terrim thank you for your reply. I ordered Strepfen from New Zealand. Not made or sold in USA. Also my side effects go beyond sore throat. My upper airways are irritated & inflamed. I’ve been on daily Arikayce for two weeks. Doctors know so little about this drug since it was only marketed in October. I’m relying on info provided by Heather and others who were part of the trial. At this point they are way more informative than any doctor Ive encountered. They simply haven’t had any patients on Arikace before.

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