Started treatment for both M abcessuss & MAC

Posted by kellykvent @kellykvent, Jul 11 12:18pm

I have M abcessuss (3 different strains) and MAC, started 3/4 years ago. I already have COPD, my pulmonologist, finally explored my worsening symptoms (even tho CT scans showed this infection since 2021) had my 1st bronchoscopy, showed M abcessuss w/Sputum sample positive. I was referred to a dr @ Mt Sanai in NY, I’m from NJ, in Sept 2024. Said I fit criteria 4 treatment but wanted to do endoscopy 2 c if something was causing this (which it wasn’t) Start of 2025 with his colleague, an Infectious Disease dr, I was admitted twice 2 hospitals for respiratory failure, now have home oxygen, symptoms WORSENING, 6 positive sputum samples, showing new strains and Nov 2025 positive for MAC. Dr said he thought it was in colonization!!!’ Year wasted, money wasted & my anger, frustration w/dr was intense. Jan 2026, w/all new team of NJ drs I found, had lung biopsy showed M abcessuss & recent sputum samples showed everything other strains & lung damage severe. With help from National Jewish drs in Colorado, finally start a very complex treatment. Yesterday had 1st IV med (3x’s week) then 5 daily pills (6 taken in total daily) I’m already having stomach issues with IV med, I’m SCARED TO DEATH. Do I really want to put my body thru more anxiety? Is it going to be worth this for a year? I hear horror stories of people after meds & sputum samples neg & they die 6mos later. 1 med I’m more nervous with is a investigative rx called clofazimine, side effects are severe, I had to sign all sorts of forms. Has anyone tried this??? Pls help! I’m changing my mind already

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@reneemc You said you "had" been on Clofazimine for 2 years, are you no longer taking it? Has your sputum culture converted to negative?

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@mjb24 I’m sorry I just started taking it

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@kellykvent Sorry for any confusion, my last comment was for Renee. I do understand your concern with the drugs, it is scary. Clofazimine has been around awhile but is only approved for leprosy which is why we have to go through the Novartis or SPIND program to get access to it for MAC. I have been in it for about 8 months and have had no problem tolerating it, so hopefully you will tolerate it well too. Best wishes!

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Yes it all is scary BUT the clofazimine may be one of your easiest options. The doses used to treat Leprosy are much higher and the higher doses are associated with the scary side effects.

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