SESSION TITLE: Interstitial Lung Disease Global Case Reports
SESSION TYPE: Global Case Report
PRESENTED ON: Tuesday, October 29, 2013 at 01:30 PM - 02:30 PM
INTRODUCTION: Hypersensitivity pneumonitis (HP) is caused by inhaled antigens which cause lymphocytic inflammation in the peripheral airways and surrounding interstitial tissue of lung. HP is most often due to an occupational exposure (1)
CASE PRESENTATION: We report a case of hypersensitivity pneumonitis in a 30-yr-old male food engineer caused by cultivated mushrooms found in his working environment. His examination revealed bilateral basillar crepitations, in thorax CT bilateral diffüse centroacinar ground glass opacities found. The patient was diagnosed according to history, chest radiograph, high-resolution chest CT. According to clinical suspicion patient treated with antibiotics combined with corticosteroids. After one week of therapy we perform low dose thorax CT to some paranchimal regions. All regions were totally normal after therapy.
DISCUSSION: There were several reports concerning hypersensitivity pneumonitis among mushroom workers. The diagnosis of HP involves documenting symptomes related to the antigen exposure, clinical, radiologic and patological findings compatible with HP(2). After clinical suspicion and therapy, low dose CT imaging technique can help to prove the diagnose
CONCLUSIONS: Detailed investigation of history and occupational information is crucial to diagnose HP. Low dose thorax CT to some regions can show the results of therapy in diffuse disseases.
Reference #1: Erkinjuntti-Pekkanen R, Rytkonen H, Kokkarinen JI, Tukiainen HO, Partanen K, Terho EO. Long-term risk of emphysema in patients with farmer’s lung and matched control farmers. Am J Respir Crit Care Med 1998; 158: 662-5.
Reference #2: Hypersensitivity pneumonitis due to mushroom spores. Tsugio Nagazawa MD.,Takao Tochigi MD. Chest 1989;95:1149-51
DISCLOSURE: The following authors have nothing to disclose: Bora Kalaycioglu, Can Bicakoglu
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