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NTM lung infection symptoms

In: Infection
4 3433
D

Hi - I have had a history of bronchiectasis since 2005. The thing the doctors told me was to be careful if you catch a cold or flu as that can turn into pneumonia. Fast forward to fall of 2014, I had been having night sweats for years but now I felt like I was getting a fever all the time, that kind of light headed feeling, than the mucus increased. I went to the Dr. and was just told I have a bug, take some mucus meds. The low grade fever stayed, along with the extra mucus, back to the dr., this time some prednisone. The fevers went a bit higher and I started just sleeping a lot between coughing fits. Dr. number 3 gave me a script for some super cough meds and ceftin antibiotics. I demanded a chest X-ray due to wanting to make sure pneumonia was not setting in, Dr. said if you are not better in a week than we will X-ray, I told him no we need to do it now!. So I got the X-ray and yes I had pneumonia in both lungs. I was sent for some blood work which said I tested positive for mycoplasma pneumonia. The ceftin seemed to be helping and I started feeling better. Even the cough lessened. I was telling people I have coughed for 10 years and now it is like a bad memory, why hadn't I taken ceftin before this, it is like a miracle. 7 days after I finished the ceftin all the symptoms returned. This was repeated 5 more times when I said this is crazy and found the most amazing ID doctor. Her first ? is why are you here, I told her I was tired of being so sick.....she took my history did an exam ordered some test and said " I believe you have MAC" - followed up with pulmonary Dr., had bronchoscopy and that confirmed the NTM MAI - Than it was the wait for what meds. to take. I continued to take the ceftin until the big 3 were chosen. This all took from Nov. 2014 till May 13th 2015 - "1 year ago today" - I have had 2 neg cultures for MAI, one did show aspergillus which i am not being treated for as It is probably colonized and not causing any further problems. - During this year of treatment I did have an episode of coughing up blood, but for the fast action of my pulmonary Dr. within a week I had another bronchoscopy and a PICC line to treat a very bad pseudomonas infection. This has been a roller coaster of a ride with leaning how to cope with this physically and mentally. I am still learning.......

Norma

Latest Activity: July 23, 2016
12
4 Replies

Replies

b

Hi - I have had a history of bronchiectasis since 2005. The thing the doctors told me was to be careful if you catch a cold or flu as that can turn into pneumonia. Fast forward to fall of 2014, I had been having night sweats for years but now I felt like I was getting a fever all the time, that kind of light headed feeling, than the mucus increased. I went to the Dr. and was just told I have a bug, take some mucus meds. The low grade fever stayed, along with the extra mucus, back to the dr., this time some prednisone. The fevers went a bit higher and I started just sleeping a lot between coughing fits. Dr. number 3 gave me a script for some super cough meds and ceftin antibiotics. I demanded a chest X-ray due to wanting to make sure pneumonia was not setting in, Dr. said if you are not better in a week than we will X-ray, I told him no we need to do it now!. So I got the X-ray and yes I had pneumonia in both lungs. I was sent for some blood work which said I tested positive for mycoplasma pneumonia. The ceftin seemed to be helping and I started feeling better. Even the cough lessened. I was telling people I have coughed for 10 years and now it is like a bad memory, why hadn't I taken ceftin before this, it is like a miracle. 7 days after I finished the ceftin all the symptoms returned. This was repeated 5 more times when I said this is crazy and found the most amazing ID doctor. Her first ? is why are you here, I told her I was tired of being so sick.....she took my history did an exam ordered some test and said " I believe you have MAC" - followed up with pulmonary Dr., had bronchoscopy and that confirmed the NTM MAI - Than it was the wait for what meds. to take. I continued to take the ceftin until the big 3 were chosen. This all took from Nov. 2014 till May 13th 2015 - "1 year ago today" - I have had 2 neg cultures for MAI, one did show aspergillus which i am not being treated for as It is probably colonized and not causing any further problems. - During this year of treatment I did have an episode of coughing up blood, but for the fast action of my pulmonary Dr. within a week I had another bronchoscopy and a PICC line to treat a very bad pseudomonas infection. This has been a roller coaster of a ride with leaning how to cope with this physically and mentally. I am still learning.......

Norma

Latest Activity: May 13, 2016
12

Comments

D

Norma, thanks so much for sharing your experiences. I'm sure it was quite frustrating and exhausting to go so long without knowing the root cause of your symptoms. Seems like your persistence was well worth it. A roller coaster ride seems like an appropriate analogy for your experience. Hoping this community will provide you the support you may need throughout the ride!

Latest Activity: May 13, 2016
5
b

Thanks

Latest Activity: May 13, 2016
4
K

My pulmo has seen antibody for aspergillus but he said if he treated it I would pick it up some where else as its in the air.

Latest Activity: May 14, 2016
3
K

I have never had a bronchcoscopy as of yet. Can they determine the NTM or MAC by sputum? Does it have to be a bronchoscopy to be determined?

Latest Activity: May 14, 2016
3
b

@Kandy
hi - Yes sputum cultures can usually tell if you have an ntm and what kind, the bad part it is a long wait, for me 6 weeks of growing it and they usually want 3 sputum cultures for confirmation - when i have had a bronchoscopy somehow they new the results much faster......and they can check for other things while doing bronch., not to mention cleaning out all the gunk......I had a sputum culture come back positive for aspergillus, one dr. said it is probably colonized and no treatment is needed, another thought it might be a contaminant of the sample, guess we will see with the next culture...norma

Latest Activity: May 15, 2016
4
G

Do you have a support group near you? I went to our meeting yesterday. We learn so much from each other. It is nice to meet others with the same conditions. Only they can understand what we go through on a daily basis. Best of luck to you.

Latest Activity: May 16, 2016
4
K

None here small town most everyone has to go 200 miles round trip for specialty drs. Its crazy my pulmo is there and alot of my other drs too. We have no specialty here. I cant even get a copd support group up here.

Latest Activity: May 16, 2016
5
R

Norma, I am so sorry to hear about your horrible nightmare with diagnosing your MAC. I actually had the opposite, during a routine x-ray I was told that I had nodules on my lungs but had no symptoms. It wasn't until a couple of years later that I got sick with what I thought was the flu but turned out to be positive for MAC bacteria in my lung. 18 months of the 3-drug antibiotic cocktail and then 2 clear cultures. Good for a year and now it's back again. I think many doctors are still in the learning curve on this disease. Good luck to you.

Latest Activity: May 24, 2016
7
b

Thanks Rose, I saw my ID doctor this week and we are at week 5 for the last sputum culture, so far no growth. If it is clear she says 2 more months of the big 3. She did worn me of the statistics of a relapse or a new infection down the road which just makes my heart sink. Still it has been a blessing not coughing up gunk all the time. Sorry to hear yours has returned after a year, did you go back on the same meds.? Is it MAC again? Hopefully soon someone will come up with better options for treatments now that this is gaining more awareness. - Stay strong, Norma

Latest Activity: May 26, 2016
5
R

I was diagnosed with M. Avium mycobacteria over 10 years ago. I continue to have the disease even after having my entire right lung removed. It is highly resistant to most of the big antibiotics. I had over 2 years with a PIC line and now I am on a 2 drug regimen that my ID doc says I will most likely be on for the rest of my life. I have to admit that I feel good and this is manageable with really healthy eating, avoiding stress, exercising a lot and taking my meds religiously. Just keep taking the meds as this disease is a monster and will eat your lungs up!! I am so protective of what lung I have left. I have to admit, as I read these posts, it is like Post-traumatic stress returning...but I am living proof of a lot of aspects of this disease...from the worst to survival!

Latest Activity: July 20, 2016
3
R

@Roxanne
So very sorry to hear that you needed to have your lung removed. I am on my 2nd round of the 3 drug antibiotic treatment and worry that I will eventually become resistant to them. My doctor did tell me that I would not die from NTM but will die with it!! I guess that's good. At the moment I am feeling good but think I am having an allergic reaction to the Rifampin.

Latest Activity: July 21, 2016
4
R

what type of reaction are you having to the Rifampin? I am down to the last possible 2 drugs that the NTM is susceptible to! Luckily, it is holding the disease at bay for the past 6 years but my ID dr. says that I will most likely be on these two for the rest of my life.

Latest Activity: July 23, 2016
2
R

@Roxanne My heart goes out to you. A few hours after I take the 2 capsules I get the shakes/chills as well as nausea. My doctor asked me to try cutting the dose in half so I took one yesterday. Still got a reaction although not as bad as with the full dose. I also had a 101 fever. When I took these 3 drugs the last time I tested positive for the bacteria I think I took them all together and didn't seem to have any problems. This time my doctor has me taking one drug in am, one at lunch, one at dinner. I think I will try taking them all together again to and see if I still get the reaction. Crazy disease.

Latest Activity: July 24, 2016
2
S

Hi Delia. Being proactive when it comes to your health is so important. The more common symptoms of NTM lung infection include: a cough, during which you may or may not cough up sputum; night sweats and/or a low grade fever; loss of appetite and weight loss; a lack of energy; shortness of breath; wheezing; and pain around the lung area. There may be other symptoms as well. Tell your doctor about these or any other symptoms you have.

Latest Activity: May 13, 2016
11

Comments

D

Thanks, SueC. Although I'm not experiencing any of these symptoms, I still like to know so that I can create awareness among those around me. Seems like NTM lung disease is not typically someone's first guess at a diagnosis unless they specialize in NTM.

Latest Activity: May 13, 2016
6
R

I agree with Sue's list of symptoms for NTM. For me it is usually the low grade fevers and night sweats. I have not experienced weight loss. I am fortunate to have a Pulmonologist that specializes in NTM/MAC. I also agree that a support group is very helpful.

Latest Activity: May 24, 2016
6
K

I often thought what kind of infection is down deep into the lungs but getting a clear sputum is nill due to weekly antibiotic. I doubt my pulmo would do a bronchosocpy on me beings I am fev 1 of 29 dlco 18. See him June got a list of questions. He is good will take all the time I need. Having my daughter with who is a RN helps a lot.

Latest Activity: May 26, 2016
5
M

I had symptoms for nearly 3 years before being diagnosed with bronchiectasis. I went to my family doctor, also an allergist, several times. They both thought it was allergies. I coughed a lot, coughed up some mucus but not a lot, just felt tired all the time and had shortness of breath. One night I coughed up some blood so my husband took me to the ER and it was there that I found I had bronchiectasis. A month later the pulmonologist did a bronchoscope & found I also had MAC. Since then I have been seeing a pulmonologist about 100 miles away who specializes in MAC. I was put on the 3 antibiotics 3 times a week but after 10 months still tested positive for MAC. Now I am on 2 of those antibiotics plus a third, and take them every day. I don't cough up much sputum.....it is even difficult to cough any up for testing. I do use an inhaler & Aerobika. About a year ago I coughed up a whole lot of blood while on vacation and ended up in the ER. I am being considered for a clinical trial of an inhaled antibiotic now. It sure is a long lonely road, as none of my friends/family has ever heard of MAC and I know no one who has it. So not much support. I don't have too many symptoms so unless I get a coughing spell or cough up blood, people think I am fine and am complaining about nothing.

Latest Activity: May 31, 2016
11

Comments

D

Hi Marjorie, thanks for sharing your experiences with Bronchiectasis and MAC. I am glad you found this site and hope that you will find a support system out of it. Have you checked out the Blog post section? There's a blog post on NTM quality of life issues that you can likely relate to. Below is the link if you're interested in reading it. I'm glad the docs were able to find the root causes of your medical issues and that you have it under control (from what I read in your post). Wishing you the best and please keep us posted on your journey!

https://www.bronchiectasisandntminitiative.org/BronchandNTM360social/Community-Discussions/Blog/Article/14/Key-points-from-NYU-NTM-Patient-Education-Seminar-QOL-Segment-presented-by-Bets

Latest Activity: May 31, 2016
5
M

Hi Delia!

I am newly diagnosed (via bronchoscopy with lavage), but like Rose, mine was more of an accidental find. I've had COPD for 10 years, but no mucous or excess coughing unless I get an upper resp. virus, and then things always go south. During one of these exacerbations I went for a chest xray to check for pneumonia. No pneumonia found, but there were some interesting non-specific opacities. These were tracked by x-ray, and finally CT scans which showed nodules. Still, I had no night sweats, fevers, abnormal chest pain, etc. I do get fatigued easily and often, but that seems to be common with COPD.

I am lucky in that my pulmonologist wondered if it might be a mycobacterial infection from the first xray.

Latest Activity: June 8, 2016
9

Comments

D

Thanks for sharing, Merry! Glad to hear your pulmonologist was able to identify it!

Latest Activity: June 9, 2016
2

It is not our intention to serve as a substitute for medical advice and any content posted should not be used for medical advice, diagnosis or treatment. We make every effort to support our members, our medical professionals cannot and will not provide a diagnosis or suggest a specific medication; those decisions should be left to your personal medical team. While we encourage individuals to share their personal experiences with COPD, please consult a physician before making changes to your own COPD management plan.

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