Indication

Refractory Mycobacterium avium complex pulmonary disease

Refractory *Mycobacterium avium* complex pulmonary disease is a chronic, non-tuberculous mycobacterial infection of the respiratory tract that persists despite standard multi-agent antimicrobial therapy. Read more about Refractory Mycobacterium avium complex pulmonary disease

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About Refractory Mycobacterium avium complex pulmonary disease.

Refractory *Mycobacterium avium* complex pulmonary disease is a chronic, non-tuberculous mycobacterial infection of the respiratory tract that persists despite standard multi-agent antimicrobial therapy.

Predominantly affecting adults with structural lung abnormalities—such as bronchiectasis or chronic obstructive pulmonary disease—as well as postmenopausal women and immunocompromised individuals, the condition is clinically defined by persistently positive respiratory sputum cultures after at least six consecutive months of guideline-based treatment.

Pathophysiologically, it is characterized by chronic granulomatous inflammation, progressive bronchial wall destruction, and parenchymal damage manifested radiographically as fibrocavitary lesions or nodular bronchiectatic changes.

Persistent infection often leads to worsening respiratory symptoms, accelerated decline in lung function, and increased mortality.

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