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What is watchful waiting for mild nontuberculous mycobacterial lung disease?

ANSWER

Your doctor may decide to watch and wait rather than treat your infection. She can check your symptoms and look at X-rays to make sure your lungs don’t start to show damage.

Why wouldn’t you want to treat your infection even if it’s mild? You’ll need to take antibiotics. They have side effects. And you’ll probably need more than one type because the bacteria often become resistant to drugs. Your doctor will weigh the pros and cons of treating your disease right away.

SOURCES:

National Organization for Rare Disorders: “Nontuberculous Mycobacterial Lung Disease.”

Tuberculosis and Respiratory Diseases : “Diagnosis and Treatment of Nontuberculous Mycobacterial Lung Disease: Clinicians' Perspectives.”

American Lung Association: “Diagnosing and Treating NTM Pulmonary Disease.”

American Journal of Respiratory and Critical Care Medicine : “An Official ATS/IDSA Statement: Diagnosis, Treatment, and Prevention of Nontuberculous Mycobacterial Diseases.”

Morbidity and Mortality Weekly Report : “Recommendations on Prophylaxis and Therapy for Disseminated Mycobacterium Avium Complex for Adults and Adolescents Infected With Human Immunodeficiency Virus.”

American Thoracic Society: “Palliative Care for People With Respiratory Disease or Critical Illness.”

UpToDate: “Treatment of Mycobacterium avium complex lung infection in adultsTreatment of Myobacterium avium lung infection in adults,” “Myobacterium avium complex (MAC) in HIV-infected patients.”complex (MAC) infections in HIV-infected patients."

NTM Info & Research: “Currently Recruiting.”

Reviewed by Neha Pathak on June 02, 2017

SOURCES:

National Organization for Rare Disorders: “Nontuberculous Mycobacterial Lung Disease.”

Tuberculosis and Respiratory Diseases : “Diagnosis and Treatment of Nontuberculous Mycobacterial Lung Disease: Clinicians' Perspectives.”

American Lung Association: “Diagnosing and Treating NTM Pulmonary Disease.”

American Journal of Respiratory and Critical Care Medicine : “An Official ATS/IDSA Statement: Diagnosis, Treatment, and Prevention of Nontuberculous Mycobacterial Diseases.”

Morbidity and Mortality Weekly Report : “Recommendations on Prophylaxis and Therapy for Disseminated Mycobacterium Avium Complex for Adults and Adolescents Infected With Human Immunodeficiency Virus.”

American Thoracic Society: “Palliative Care for People With Respiratory Disease or Critical Illness.”

UpToDate: “Treatment of Mycobacterium avium complex lung infection in adultsTreatment of Myobacterium avium lung infection in adults,” “Myobacterium avium complex (MAC) in HIV-infected patients.”complex (MAC) infections in HIV-infected patients."

NTM Info & Research: “Currently Recruiting.”

Reviewed by Neha Pathak on June 02, 2017

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How is mild nontuberculous mycobacterial lung (NTM) disease treated?

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