Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
138 Doctors are Online

Does mycobacterium avium complex disease affects lungs especially while coughing?

User rating for this question
Very Good
Answered by

Practicing since : 1979
Answered : 1126 Questions
I have MAC and I want to know if the lungs hurts especially when I cough/
Posted Thu, 19 Dec 2013 in Lung and Chest disorders
Answered by Dr. Shashi Dangwal 3 hours later
Brief Answer: there may be chest pain if pleura is involved. Detailed Answer: Hello XXXXX, I`m sure by MAC you mean mycobacterium avium complex disease of the lungs. It`s a atypical mycobacterim infection generally affecting dtseased lungs, elderly and those who have compromised immunity. The lung disease generally presents as cough with sputum production, blood in sputum, fever, weight loss and generalized malaise. Pain chest is present if there is superadded bacterial chest infection with involvement of pleura. It is difficult to treat and runs an indolent course. Treatment is with 2 or 3 antimicrobials, preferrably like macrolides, rifampin and etambutol. Treatment has to be taken for at least 12 months.
Above answer was peer-reviewed by
Follow-up: Does mycobacterium avium complex disease affects lungs especially while coughing? 8 hours later
Which are the best antibiotics for MAC. I could'n use ETHAMBUTOL because it affected my optic nerve. I think I have MAC in my arms. How it can be detected?
Answered by Dr. Shashi Dangwal 14 hours later
Brief Answer: MAC is treated with a combination of 2 to 3 drugs. Detailed Answer: Hello XXXXX, MAC infection is treated with a combination of 2 to 3 antibiotics to avoid development of resistance. So far the most superior combination is of macrolide, rifampin and etambutol. Other available drugs are aminoglycoside, fluroquinolones,clofazimine and linezolid. Fluroquinolones and clofazimine should be used as second line drugs(in case of resistance) as their efficacy is less than the other drugs. Since you are not tolerating ethambutol, you must consult your treating physician or your pulmonologist who will chalk out the best combination for you.
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions

The user accepted the expert's answer

Ask a Pulmonologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor