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Mac Prevention

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Mycobacterium Avium Complex (MAC)

Introduction Mycobacterium Avium Complex (my-koe-back-teer-ee-um ay-vee-um com-plecks) disease is among the most common bacterial infections in people with HIV. In one study, MAC bacteria were found in the blood of 43% of people within two years of diagnosis with AIDS. MAC is most likely to occur in people with CD4+ cell counts below 50 and at least one other opportunistic infection (OI). Routine blood tests from people with low CD4+ cell...
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mac prophylaxis

my recent cd4 was 2 in dec 1996. after starting 3 drug therapy my countincreased to 150. My doctor deciced to discontinueZmax for MAC prophylaxis. I have had many negative MAC cultures. Wasthis the right decision or should I continue onMac...
Cal Cohen, M.D., M.S.

Response from Cal Cohen, M.D., M.S.

Harvard Medical School
The "party line" on this controversial question is that you should baseprophylaxis decisions on the lowest CD4 count you've have ever had. That means that if you've ever been below 50, you should take MACprophylaxis regardless of... Read more »

Doubting Thomas?? (MAC)

Hey there Dr. Bob!!Ciao bello, Tom here. I just wanted to say hello and see if you had time to respond to me. I have recently been dealing with fears of HIV. I tested via Home Access, and the result was negative. Woo-hoo-able, right? Not so fast. My...
Robert J. Frascino, M.D.

Response from Robert J. Frascino, M.D.

The Robert James Frascino AIDS Foundation
Hello Doubting Thomas,Your negative Home Access test, assuming it was done after the window period, is definitive and conclusive. HIV is not your problem. No way. No how.Have you skipped over the HIV diagnosis and progressed to AIDS with MAC?... Read more »

mac meds, when do you get off of them

my partner has been on mac meds for almost 2 years his cd4 was 9 when we started this. After going into "iris" mac appeared in the lung and spleen. his cd4s are creaping along and we are now at 99, our doctor thinks the sheer amount of...
Benjamin Young, M.D., Ph.D.

Response from Benjamin Young, M.D., Ph.D.

Rocky Mountain CARES
Hello and thanks for posting.With HIV medications, people who are diagnosed with advanced disease and complications, like MAC and expect their immune health to improve (and risks of recurrence decrease). MAC treatments can be given for a very long... Read more »

MAC MAI prognosis

Let me start by saying, I know I am asking a question that may not be good for others to see an answer to and if you want please respond to my email if you don't want to respond in the public forum.My daughter has been HIV positive for 12 years...
Robert J. Frascino, M.D.

Response from Robert J. Frascino, M.D.

The Robert James Frascino AIDS Foundation
of MAC. Recent information from studies of rifabutin show that the drug may also help people live longer. Taking the drug for MAC prevention reduced the risk of dying by 14% in these studies. The most serious side effects of rifabutin are low white... Read more »
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Mac infection

Posted by FurryAquaMammal, 2 Replies
So, going on 5 months of detection. Need some insight in to dealing with MAC infection. I have a good team of docs, but need some insight into what to expect. Swollen nodes in my neck, been on antibiotics to treat it for over a month now, surgery... Read more »

MAC IV Therapy

Posted by Anonymous, 1 Reply
I'm thinking of stopping IV therapy for MAC....can anyone tell me if they've done that...and if so.....did you feel better or worse without the meds? My CD4+ cell count is still below 50.....the meds make me feel so awful I have to wonder if the MAC... Read more »

MAC. & low cd-4

Posted by danni, 3 Replies
i am terrified, i just learned that i have mac. my viral load is 87,000, my cd-4; only 14. my doc. did start meds for me, but i can't get past the fear that it's too late. with my blood counts, is mac, a sure death sentence? i appreciate any... Read more »

Mycobacterium Avium Complex (MAC)

Posted by Anonymous
Good day! I just found out that I have some bacteria in my blood. I'm low with t4cell at 1 so my doctor says that I have MAC. I wanted to know if anyone has experience this and has anyone gotten better. This could explain my many symptoms... Read more »