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Suggest Treatment For Mycobacterium Avium Complex Infection

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Posted on Tue, 9 Sep 2014
Question: I have MAC and can't take the 3 med's they put me on. I have heard that olive leaf caps may be good without side effect. I know Dr Weil deals with herbs that may help Thanks XXXXXXX XXXX
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Answered by Dr. Shafi Ullah Khan (1 hour later)
Brief Answer:
USe leaves but don't stop MAC meds, use both

Detailed Answer:
Thank you for asking
I won't agree with just relying on olive leaves .. trust me an organism that resistant like MAC are least likely to respond to them. MAC infection is treated with 2 or 3 antimicrobials for at least 12 months. Commonly used first-line drugs include macrolides (clarithromycin or azithromycin), ethambutol, and rifamycins (rifampin, rifabutin). Aminoglycosides, such as streptomycin and amikacin, are also used as additional agents. MAC lymphadenitis in children is treated with surgical excision of the affected lymph nodes.
You can use Olive leaves concomitantly with the MAC meds but alone use would not do any good. Trust me.

Mycobacterium avium complex (MAC) consists of two species: M avium and M intracellulare; because these species are difficult to differentiate, they are also collectively referred to as Mycobacterium avium-intracellulare (MAI) . MAC is the atypical Mycobacterium most commonly associated with human disease.

MAC is primarily a pulmonary pathogen that affects individuals who are immune compromised (eg, from AIDS, hairy cell leukemia, immunosuppressive chemotherapy). In this clinical setting, MAC has been associated with osteomyelitis; tenosynovitis; synovitis; and disseminated disease involving the lymph nodes, the CNS, the liver, the spleen, and the bone marrow. MAC is the most common cause of infection by nontuberculous mycobacteria (NTM) in patients with AIDS. M avium is the isolate in more than 95% of patients with AIDS who develop MAC infections.

MAC lung disease occurs rarely in immunocompetent hosts. Patients with underlying lung disease or immunosuppression may develop progressive MAC lung disease. M intracellulare is responsible for 40% of such infections in immunocompetent patients.

MAC is ubiquitous in distribution. It has been isolated from fresh water and salt water worldwide. The common environmental sources of MAC include the following and should be avoided.

Aerosolized water
Piped hot water systems (including household and hospital water supplies)
Bathrooms
House dust
Soil
Birds
Farm animals
Cigarette components (eg, tobacco, filters, paper)
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shafi Ullah Khan

General & Family Physician

Practicing since :2012

Answered : 3613 Questions

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Suggest Treatment For Mycobacterium Avium Complex Infection

Brief Answer: USe leaves but don't stop MAC meds, use both Detailed Answer: Thank you for asking I won't agree with just relying on olive leaves .. trust me an organism that resistant like MAC are least likely to respond to them. MAC infection is treated with 2 or 3 antimicrobials for at least 12 months. Commonly used first-line drugs include macrolides (clarithromycin or azithromycin), ethambutol, and rifamycins (rifampin, rifabutin). Aminoglycosides, such as streptomycin and amikacin, are also used as additional agents. MAC lymphadenitis in children is treated with surgical excision of the affected lymph nodes. You can use Olive leaves concomitantly with the MAC meds but alone use would not do any good. Trust me. Mycobacterium avium complex (MAC) consists of two species: M avium and M intracellulare; because these species are difficult to differentiate, they are also collectively referred to as Mycobacterium avium-intracellulare (MAI) . MAC is the atypical Mycobacterium most commonly associated with human disease. MAC is primarily a pulmonary pathogen that affects individuals who are immune compromised (eg, from AIDS, hairy cell leukemia, immunosuppressive chemotherapy). In this clinical setting, MAC has been associated with osteomyelitis; tenosynovitis; synovitis; and disseminated disease involving the lymph nodes, the CNS, the liver, the spleen, and the bone marrow. MAC is the most common cause of infection by nontuberculous mycobacteria (NTM) in patients with AIDS. M avium is the isolate in more than 95% of patients with AIDS who develop MAC infections. MAC lung disease occurs rarely in immunocompetent hosts. Patients with underlying lung disease or immunosuppression may develop progressive MAC lung disease. M intracellulare is responsible for 40% of such infections in immunocompetent patients. MAC is ubiquitous in distribution. It has been isolated from fresh water and salt water worldwide. The common environmental sources of MAC include the following and should be avoided. Aerosolized water Piped hot water systems (including household and hospital water supplies) Bathrooms House dust Soil Birds Farm animals Cigarette components (eg, tobacco, filters, paper)