Environmental factors in NTM infections
Nontuberculous mycobacteria (NTM) infections are an increasing public health challenge globally, and environmental factors play a significant role in this rise. NTM are opportunistic pathogens found in diverse habitats such as soil, water systems, and even household plumbing. Unlike Mycobacterium tuberculosis, NTM are not thought to spread from person to person but through environmental exposure….
Fatigue in Bronchiectasis: Understanding and Managing a Debilitating Symptom
Bronchiectasis is a chronic lung condition characterised by the permanent enlargement of parts of the airways, leading to a cycle of inflammation, infection, and progressive lung damage. While the hallmark symptoms of bronchiectasis include chronic cough, excessive sputum production, and recurrent lung infections, fatigue is a lesser-known yet profoundly debilitating symptom that significantly impacts patients’…
Managing Refractory MAC Pulmonary Disease
Mycobacterium avium complex (MAC) pulmonary disease is a challenging condition to treat, particularly when standard therapies fail. When patients continue to test positive for MAC despite undergoing treatment, the disease is considered refractory. Here we will explore what refractory MAC pulmonary disease is, how it’s diagnosed, and the steps that can be taken to try…
Understanding and Managing the Treatment Burden in Bronchiectasis
Managing bronchiectasis can be highly burdensome, affecting both physical and mental health. Here we explore the treatment burden in bronchiectasis and provides practical strategies to cope with the challenges it poses. The Challenge of Treatment Burden in Bronchiectasis Daily Management and Routine People with bronchiectasis often endure a complex daily routine of medications, physical therapy,…
Bronchiectasis Consultation: Key Symptoms and Essential Information for Your Doctor
Bronchiectasis is a chronic respiratory disease where the airways widen abnormally, trapping mucus and causing persistent infections. Recognising symptoms early and discussing them accurately with your doctor is crucial for effective management. This article will explore the essential information that you have to let your doctor know when having a bronchiectasis consultation with your specialist….
Nebulised Antibiotics in Non-CF Bronchiectasis
Bronchiectasis, a chronic lung condition characterised by widened and damaged airways, can be a challenging beast to tame. But here’s a ray of hope – nebulised antibiotics. They’ve emerged as a game-changer, especially for those with non-cystic fibrosis (non-CF) bronchiectasis. This article looks into the world of nebulised antibiotics like Colomycin, Gentamicin, Aztreonam, Tobramycin, and…
Non-Tuberculous Mycobacterial infection: When to Treat?
As an expert in pulmonary infections, Dr Ricardo Jose, frequently encounter queries about Mycobacterium other than Tuberculosis, also known as Non-tuberculous mycobacterium (NTM). Non-Tuberculous Mycobacterial infections can be quite puzzling, not only for patients but also for other healthcare professionals. Let’s look at understanding when to treat these pulmonary infections, balancing the fine line between…
The Breath Behind the Ache: Rheumatoid Arthritis and the Lungs
Pathophysiology: When RA Decides to Play in the Lung Field Rheumatoid arthritis (RA) is notorious for wreaking havoc on our joints. But it’s not restricted to just the joints; the pathophysiology can have implications on our lungs too. Rheumatoid Arthritis and Lung Disease: A Chicken or the Egg Dilemma Interestingly, the relationship between rheumatoid arthritis…
Introduction to Primary Ciliary Dyskinesia (PCD)
What is PCD? Primary Ciliary Dyskinesia (PCD) is a rare congenital condition, primarily characterised by dysfunction in the cilia, the tiny hair-like structures that line our respiratory tract. These cilia serve as essential movers, propelling mucus and foreign particles out of our respiratory passages. Imagine a conveyor belt system in a large factory—when it breaks…