Sauna lung: Hypersensitivity pneumonitis due to Exophiala jeanselmei

被引:4
|
作者
Huang, Wei-Chen [2 ]
Lu, Yin-Hsiu [4 ]
Lin, Zih-Gong [3 ]
Su, Wen-Lin [1 ]
机构
[1] Triserv Gen Hosp, Div Pulm & Crit Care Med, Dept Internal Med, Taipei 114, Taiwan
[2] Triserv Gen Hosp, Dept Internal Med, Taipei 114, Taiwan
[3] Triserv Gen Hosp, Dept Pathol, Taipei 114, Taiwan
[4] Natl Def Med Ctr, Taipei, Taiwan
关键词
Exophiala jeanselmei; hypersensitivity pneumonitis; Sauna takers disease; steam bath; WATER; FUNGI;
D O I
10.1111/j.1440-1843.2010.01705.x
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
A 55-year-old man developed progressive cough and dyspnoea after regular attendance at a public steam bath. Hypoxaemia, diffuse pulmonary infiltrates and a predominance of lymphocytes with an increased percentage of CD8+ T cells in his bronchoalveolar lavage fluid suggested hypersensitivity pneumonitis. Microbial cultures from the steam bath room and tank identified Exophiala jeanselmei. Immunoblotting assays from the patient's serum confirmed the major antigenic stimulus. The patient recovered fully after systemic corticosteroid treatment and cessation of further exposure.
引用
收藏
页码:573 / 576
页数:4
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