Hypersensitivity Pneumonitis and Bronchial Asthma Attacks Caused by Environmental Fungi
We report a case of hypersensitivity pneumonitis and asthma attacks caused by environmental fungi in a 75-year-old man. The diagnosis was established by inhalation challenge with Bjerkandera adusta and Aspergillus fumigatus. The patient was admitted for treatment of fever, wheezing, and dyspnea. Che...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2008-01-01
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| Series: | Allergology International |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1323893015307838 |
| _version_ | 1818487381966192640 |
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| author | Nobuyuki Katayama Masaki Fujimura Masahide Yasui Haruhiko Ogawa Shinji Nakao |
| author_facet | Nobuyuki Katayama Masaki Fujimura Masahide Yasui Haruhiko Ogawa Shinji Nakao |
| author_sort | Nobuyuki Katayama |
| collection | DOAJ |
| description | We report a case of hypersensitivity pneumonitis and asthma attacks caused by environmental fungi in a 75-year-old man. The diagnosis was established by inhalation challenge with Bjerkandera adusta and Aspergillus fumigatus. The patient was admitted for treatment of fever, wheezing, and dyspnea. Chest computed tomography showed small nodular shadows with diffuse, partially patchy, ground-glass opacities. The findings of bronchoalveolar lavage fluid were compatible with hypersensitivity pneumonitis. His symptoms and objective findings, including chest radiographs, worsened after returning home, suggesting the existence of causative antigens in his house. B. adusta and A. fumigatus were isolated from the living room and bedroom. Based on the results of antigen inhalation bronchoprovocation test, he was given a diagnosis of hypersensitivity pneumonitis caused by B. adusta and bronchial asthma attacks caused by B. adusta and A. fumigatus. After cleaning the entire house, the patient has had no recurrence of the symptoms on returning home. |
| first_indexed | 2024-12-10T16:37:03Z |
| format | Article |
| id | doaj.art-32ff0afdf75449cb9196ece865396ace |
| institution | Directory Open Access Journal |
| issn | 1323-8930 |
| language | English |
| last_indexed | 2024-12-10T16:37:03Z |
| publishDate | 2008-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Allergology International |
| spelling | doaj.art-32ff0afdf75449cb9196ece865396ace2022-12-22T01:41:23ZengElsevierAllergology International1323-89302008-01-0157327728010.2332/allergolint.C-07-56Hypersensitivity Pneumonitis and Bronchial Asthma Attacks Caused by Environmental FungiNobuyuki Katayama0Masaki Fujimura1Masahide Yasui2Haruhiko Ogawa3Shinji Nakao4Respiratory Medicine, Kanazawa University Hospital, Ishikawa, Japan.Respiratory Medicine, Kanazawa University Hospital, Ishikawa, Japan.Respiratory Medicine, Kanazawa University Hospital, Ishikawa, Japan.Respiratory Medicine, Kanazawa University Hospital, Ishikawa, Japan.Respiratory Medicine, Kanazawa University Hospital, Ishikawa, Japan.We report a case of hypersensitivity pneumonitis and asthma attacks caused by environmental fungi in a 75-year-old man. The diagnosis was established by inhalation challenge with Bjerkandera adusta and Aspergillus fumigatus. The patient was admitted for treatment of fever, wheezing, and dyspnea. Chest computed tomography showed small nodular shadows with diffuse, partially patchy, ground-glass opacities. The findings of bronchoalveolar lavage fluid were compatible with hypersensitivity pneumonitis. His symptoms and objective findings, including chest radiographs, worsened after returning home, suggesting the existence of causative antigens in his house. B. adusta and A. fumigatus were isolated from the living room and bedroom. Based on the results of antigen inhalation bronchoprovocation test, he was given a diagnosis of hypersensitivity pneumonitis caused by B. adusta and bronchial asthma attacks caused by B. adusta and A. fumigatus. After cleaning the entire house, the patient has had no recurrence of the symptoms on returning home.http://www.sciencedirect.com/science/article/pii/S1323893015307838Bjerkandera adustabronchial asthmahome environment provocation testhypersensitivity pneumonitisinhalation challenge test |
| spellingShingle | Nobuyuki Katayama Masaki Fujimura Masahide Yasui Haruhiko Ogawa Shinji Nakao Hypersensitivity Pneumonitis and Bronchial Asthma Attacks Caused by Environmental Fungi Allergology International Bjerkandera adusta bronchial asthma home environment provocation test hypersensitivity pneumonitis inhalation challenge test |
| title | Hypersensitivity Pneumonitis and Bronchial Asthma Attacks Caused by Environmental Fungi |
| title_full | Hypersensitivity Pneumonitis and Bronchial Asthma Attacks Caused by Environmental Fungi |
| title_fullStr | Hypersensitivity Pneumonitis and Bronchial Asthma Attacks Caused by Environmental Fungi |
| title_full_unstemmed | Hypersensitivity Pneumonitis and Bronchial Asthma Attacks Caused by Environmental Fungi |
| title_short | Hypersensitivity Pneumonitis and Bronchial Asthma Attacks Caused by Environmental Fungi |
| title_sort | hypersensitivity pneumonitis and bronchial asthma attacks caused by environmental fungi |
| topic | Bjerkandera adusta bronchial asthma home environment provocation test hypersensitivity pneumonitis inhalation challenge test |
| url | http://www.sciencedirect.com/science/article/pii/S1323893015307838 |
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