Using steriod (Prednisone) to treat MAC/Bronchiectasis exacerbation
I recently had a flare-up (fever, cough, short of breath) and hospitalized for 2 weeks. Doctor ran several sputum samples for Gram stain and cultures, the AFB stain is positive (+++), but didn't find any other bacteria in the sputum. They initially put me on Zosyn (piperacillin/tazobactam) (IV) and Azythomycin (oral), but no clear improvement of fever. Then I started on steriod IV (methylprednisolone）for 7 days, followed by Prednisone 10mg for 1 day, and 5mg for 1 day. At the same time, I was put on different antibiotics (moxifloxacin + Tigecycline) for 9 days. Dr suggested I was having COPD from the MAC complication. My fever and cough improved and I was discharged. However, two days after discharge, my fever returned, i had extreme fatigue. I'm now back on Prednisone 10mg for a day and will try to keep it at 7.5mg. It helped with fever. I wonder if anyone had used steriod to treat MAC exacerbation, and if so, did you have similar steriod withdrawl symptoms. What is your steriod dosage to control withdrawal and for how long to stop steriod completely. Thanks.