He’s got what?

DEAR DR. GOTT: A family member was recently diagnosed with mycobacteria avium complex pulmonary disease, also known as MAC. Can you please provide information on this unheard of condition? What causes it? Is it contagious? What are the symptoms? What exactly is it? Can it be cured or is it a lifetime thing? Can it recur if it is cured? What is the treatment?

Please provide as much information as possible and as soon as possible. Thank you so much. Please keep up the good work of providing medical information with a common sense approach.

DEAR READER: Mycobacterium avium complex (MAC) is essentially a pulmonary pathogen for those on immuno-suppressive chemotherapy and refers to both non-tuberculosis M. [Read more...]

Addressing mycobacterium chelonae

DEAR DR. GOTT: This is the first time I have written you. I’m 79 and female in pretty good health. I have a pacemaker and am on Coumadin.

I was diagnosed with mycobacterium chelonae a year and a half ago after a CT scan and sputum testing in a petri dish in a lab in Denver. I guess this is rather rare. My infectious disease doctor said I would have a PICC in my arm and two very strong antibiotics injected. Because they have strong side effects, I will have my heart and kidneys monitored weekly. I now have nausea and a rash.

I am holding off because I take care of my husband who had a stroke and has vascular dementia. The doctor said it hasn’t gotten worse, so I will wait a few months before deciding. [Read more...]