A member asked:

Does anyone consider bacteria chlamydia pneumoniae and mycoplasma when treating asthma patients? do you know of a doc in the nyc area? thanks

5 doctors weighed in across 2 answers
Dr. William Walsh answered

Specializes in Addiction Medicine

Most pulmonologists: Should think of atypical infections when treating asthma - although the notion that these are causes of asthma is out of fashion except in elderly women or asians. Using macrolide antibiotics for patients with bronchiectasis or airway inflammation that is not responsive to inhaled corticosteroids is (but likely for the anti-inflammatory properties of these drugs). Don't have a ny area reference.

Answered 12/20/2012

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Dr. Kevin Windisch answered

Specializes in Pediatrics

Absolutely: These bacteria can mimic asthma symptoms however atypical pneumonias should not cause change in spirometry, especially changes reversible with beta 2 agonists. You also need to consider allergic bronchopulmonary aspergillosis.

Answered 12/20/2012

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