Does mycobacterium avium complex disease affects lungs especially while coughing?

Posted on Thu, 19 Dec 2013 in Lung and Chest disorders
Question: I have MAC and I want to know if the lungs hurts especially when I cough/
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 : Dr. Chakravarthy Mazumdar
Follow up: Dr. Shashi Dangwal 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 : Dr. Chakravarthy Mazumdar
Answered by
Dr. Shashi Dangwal


Practicing since :1979

Answered : 1126 Questions


The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,  
Drug/Medication ,   ,   ,  

Recent questions on  Linezolid

doctor1 MD

Had abscess in colon drained 10 days ago----MRSA and VRE discovered in abscess----- still have drain tube protruding from side (to be removed...

doctor1 MD

Good evening Doctor, My elder brother aged 50 years has developed a heat puss boil under thighs since two days. Because of the puss boil, the skin...

doctor1 MD

My husband starting linezolid . What foods should he avoid?

doctor1 MD

Past 4 days I have lot of Itching around and near the Anus. Background: I went trough a Laser surgery for Fistula in Ano (11 o Clock) last month on...

doctor1 MD

Hi, I am 32yrs and need some urgent help to understand my semen report. After confirming that my wife has PCOD, her gynaec also suggested my tests....

doctor1 MD

I have been taking Zyvox for 7 months and have experienced black stain marks on my teeth. Is this a side effect?
Also have an itchy rash on my arms...

Get personalised answers from verified doctor in minutes across 80+ specialties

154 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction