Mycobacterium avium complex pulmonary disease in patients with pre-existing lung disease

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71 Scopus citations


Patients with MAC-PD and pre-existing lung disease are a distinct group from the more common and recently recognized group of predominantly middle- to older-aged women without pre-existing lung disease. Those with pre-existing disease are expected to have more sputum positivity and slower conversion of sputum with treatment, and they may require combined medical treatment with surgical resection for optimal results. Attention to bronchial hygiene, avoidance of unnecessary use of macrolides, and treatment of underlying esophageal and lung disease can result in marked symptomatic improvement in many cases. Appropriate consideration must be given to mycobacterial antibiotic treatment, and awareness must be maintained for other processes such as bronchogenic cancer in select groups of high-risk patients.

Original languageEnglish (US)
Pages (from-to)643-653
Number of pages11
JournalClinics in Chest Medicine
Issue number3
StatePublished - Sep 2002

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine


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