A Lung Granuloma Case Possibly Associated with a Working Environment: A Case Report
Lung granulomas are uncommon in Thailand. The disease typically develops from an occupational environment and is mostly caused by infection. Herein is a case report of a female patient, aged 48, working as a nurse in an Accident and Emergency Department at a hospital. Eighteen years prior to admissi...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-06-01
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| Series: | Safety and Health at Work |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2093791121000299 |
| _version_ | 1797717062560251904 |
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| author | Sankom Seehapanya Naesinee Chaiear Pailin Ratanawatkul Kittipan Samerpitak Piyapharom Intarawichian Lumyai Wonglakorn |
| author_facet | Sankom Seehapanya Naesinee Chaiear Pailin Ratanawatkul Kittipan Samerpitak Piyapharom Intarawichian Lumyai Wonglakorn |
| author_sort | Sankom Seehapanya |
| collection | DOAJ |
| description | Lung granulomas are uncommon in Thailand. The disease typically develops from an occupational environment and is mostly caused by infection. Herein is a case report of a female patient, aged 48, working as a nurse in an Accident and Emergency Department at a hospital. Eighteen years prior to admission the patient was diagnosed with myasthenia gravis and pulmonary tuberculosis. The chest X-ray and CT scans showed a solitary pulmonary nodule in the lower left lung. The patient received an open thoracotomy with a left lobectomy. Granulomatous and nonseptate hyphae were found in the pathology diagnosis. The patient was thus diagnosed as having a lung granuloma. The galactomannan antigen test was positive. The solitary pulmonary nodule—found from the use of a Polymerase Chain Reaction (PCR) test—was an Aspergillus spp. The fungus culture was collected from air samples. The air samples were collected by the impaction technique using a microbial air sampler. Three types of Aspergillus spp. were found as well as Penicillium spp. and Monilia sitophila. The Aspergillus spp. was a match for the patient's disease. The patient was diagnosed as having a lung granuloma possibly Aspergillus nodule which was caused by airborne Aspergillus spp. from the occupational environment. |
| first_indexed | 2024-03-12T08:30:47Z |
| format | Article |
| id | doaj.art-71875de85e8643b5bc5d12104a096165 |
| institution | Directory Open Access Journal |
| issn | 2093-7911 |
| language | English |
| last_indexed | 2024-03-12T08:30:47Z |
| publishDate | 2021-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Safety and Health at Work |
| spelling | doaj.art-71875de85e8643b5bc5d12104a0961652023-09-02T17:41:25ZengElsevierSafety and Health at Work2093-79112021-06-01122268271A Lung Granuloma Case Possibly Associated with a Working Environment: A Case ReportSankom Seehapanya0Naesinee Chaiear1Pailin Ratanawatkul2Kittipan Samerpitak3Piyapharom Intarawichian4Lumyai Wonglakorn5Division of Occupational Medicine, Department of Community Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, ThailandDivision of Occupational Medicine, Department of Community Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand; Corresponding author. Division of Occupational Medicine, Department of Community Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.Division of Pulmonary and Critical Care, Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, ThailandDepartment of Microbiology, Faculty of Medicine, Khon Kaen University, Khon Kaen, ThailandDepartment of Pathology, Faculty of Medicine, Khon Kaen University, Khon Kaen, ThailandClinical Microbiology Laboratory, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, ThailandLung granulomas are uncommon in Thailand. The disease typically develops from an occupational environment and is mostly caused by infection. Herein is a case report of a female patient, aged 48, working as a nurse in an Accident and Emergency Department at a hospital. Eighteen years prior to admission the patient was diagnosed with myasthenia gravis and pulmonary tuberculosis. The chest X-ray and CT scans showed a solitary pulmonary nodule in the lower left lung. The patient received an open thoracotomy with a left lobectomy. Granulomatous and nonseptate hyphae were found in the pathology diagnosis. The patient was thus diagnosed as having a lung granuloma. The galactomannan antigen test was positive. The solitary pulmonary nodule—found from the use of a Polymerase Chain Reaction (PCR) test—was an Aspergillus spp. The fungus culture was collected from air samples. The air samples were collected by the impaction technique using a microbial air sampler. Three types of Aspergillus spp. were found as well as Penicillium spp. and Monilia sitophila. The Aspergillus spp. was a match for the patient's disease. The patient was diagnosed as having a lung granuloma possibly Aspergillus nodule which was caused by airborne Aspergillus spp. from the occupational environment.http://www.sciencedirect.com/science/article/pii/S2093791121000299aspergilluslung granulomaoccupational lungworking environment |
| spellingShingle | Sankom Seehapanya Naesinee Chaiear Pailin Ratanawatkul Kittipan Samerpitak Piyapharom Intarawichian Lumyai Wonglakorn A Lung Granuloma Case Possibly Associated with a Working Environment: A Case Report Safety and Health at Work aspergillus lung granuloma occupational lung working environment |
| title | A Lung Granuloma Case Possibly Associated with a Working Environment: A Case Report |
| title_full | A Lung Granuloma Case Possibly Associated with a Working Environment: A Case Report |
| title_fullStr | A Lung Granuloma Case Possibly Associated with a Working Environment: A Case Report |
| title_full_unstemmed | A Lung Granuloma Case Possibly Associated with a Working Environment: A Case Report |
| title_short | A Lung Granuloma Case Possibly Associated with a Working Environment: A Case Report |
| title_sort | lung granuloma case possibly associated with a working environment a case report |
| topic | aspergillus lung granuloma occupational lung working environment |
| url | http://www.sciencedirect.com/science/article/pii/S2093791121000299 |
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