Nebulised -Acetylcysteine for Unresponsive Bronchial Obstruction in Allergic Brochopulmonary Aspergillosis: A Case Series and Review of the Literature.

J Fungi (Basel)

The National Aspergillosis Centre, 2nd Floor Education and Research Centre, Wythenshawe Hospital, Southmoor Road, Manchester M23 9LT, UK.

Published: October 2018

AI Article Synopsis

  • Many chronic lung diseases involve excessive mucus production, leading to the use of mucoactive agents like N-acetylcysteine (NAC) for treatment.
  • A review at the National Aspergillosis Centre highlighted six patients who received NAC, with one experiencing an adverse reaction and two showing significant improvement in symptoms.
  • The study also includes a review of existing literature to evaluate NAC's effectiveness in managing respiratory issues characterized by bronchial obstruction.

Article Abstract

Many chronic lung diseases are characterized by the hypersecretion of mucus. In these conditions, the administration of mucoactive agents is often indicated as adjuvant therapy. -acetylcysteine (NAC) is a typical example of a mucolytic agent. A retrospective review of patients with pulmonary aspergillosis treated at the National Aspergillosis Centre in Manchester, United Kingdom, with NAC between November 2015 and November 2017 was carried out. Six Caucasians with lung disease received NAC to facilitate clearance of their viscid bronchial mucus secretions. One patient developed immediate bronchospasm on the first dose and could not be treated. Of the remainder, two (33%) derived benefit, with increased expectoration and reduced symptoms. Continued response was sustained over 6⁻7 months, without any apparent toxicity. In addition, a systematic review of the literature is provided to analyze the utility of NAC in the management of respiratory conditions which have unresponsive bronchial obstruction as a feature.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6308940PMC
http://dx.doi.org/10.3390/jof4040117DOI Listing

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