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Nontubercular mycobacterial cough
  1. Aditya Samitinjay1,
  2. Zulfikar Ali2 and
  3. Rakesh Biswas1
  1. 1General Medicine, Kamineni Institute of Medical Sciences, Narketpally, Telangana, India
  2. 2Radiology, Sree Venkateswara Diagnostics, Kadapa, Andhra Pradesh, India
  1. Correspondence to Professor Rakesh Biswas; rakesh7biswas{at}


Habitual cough suppression leading to non-tuberculous mycobacteria infections and bronchiectasis has been reported. We present a case of a 55-year-old woman with a chronic history of cough with mild expectoration and frequent lower respiratory tract infections, remitting with antibiotic therapy and other supportive measures. She also reported habitual cough suppression for several years. She was eventually diagnosed with Mycobacterium avium complex (MAC) positive right middle lobe bronchiectasis—Lady Windermere syndrome and obstructive sleep apnoea (OSA), causing disabling symptoms limiting her daily activities. We aim to highlight two key issues—diagnosing MAC infections in a tuberculosis endemic country, and OSA and its long-term clinical implications.

  • TB and other respiratory infections
  • obesity (public health)
  • public health

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  • Contributors AS was involved in writing, editing and finalising the manuscript. ZA was involved in writing and reviewing the manuscript. RB was involved in editing and finalising the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.