European Respiratory Review (Feb 2022)

Management of Mycobacterium avium complex and Mycobacterium abscessus pulmonary disease: therapeutic advances and emerging treatments

  • Kartik Kumar,
  • Charles L. Daley,
  • David E. Griffith,
  • Michael R. Loebinger

DOI
https://doi.org/10.1183/16000617.0212-2021
Journal volume & issue
Vol. 31, no. 163

Abstract

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Nontuberculous mycobacterial pulmonary disease (NTM-PD) remains a challenging condition to diagnose and treat effectively. Treatment of NTM-PD is prolonged, frequently associated with adverse effects and has variable success. In this review, we consider the factors influencing clinicians when treating NTM-PD and discuss outcomes from key studies on the pharmacological management of Mycobacterium avium complex pulmonary disease and M. abscessus pulmonary disease. We highlight issues relating to treatment-related toxicity and provide an overview of repurposed and emerging therapies for NTM-PD.