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Sauna lung: Hypersensitivity pneumonitis due to Exophiala jeanselmei
Author(s) -
HUANG WeiChen,
LU YinHsiu,
LIN ZihGong,
SU WenLin
Publication year - 2010
Publication title -
respirology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.857
H-Index - 85
eISSN - 1440-1843
pISSN - 1323-7799
DOI - 10.1111/j.1440-1843.2010.01705.x
Subject(s) - hypersensitivity pneumonitis , medicine , bronchoalveolar lavage , lung , pathology , corticosteroid , immunology
ABSTRACT 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.