Korean J Med > Volume 80(2); 2011 > Article
The Korean Journal of Medicine 2011;80(2):204-208.
A Case of Hypersensitivity Pneumonitis Caused by Mycobacterium terrae in a Fishery Worker
Eun Young Kim1, Yong Soo Kwon1, In Jae Oh1, Sung Chul Lim1, Young Chul Kim1, Yoo-Duk Choi2, Hyun Ju Seon3
양어장 근무자에서 Mycobacterium terrae에 의해 발생한 과민성폐렴 1예
김은영1, 권용수1, 오인재1, 임성철1, 김영철1, 최유덕2, 선현주3
Abstract
Hypersensitivity pneumonitis caused by exposure to non-tuberculous mycobacteria in indoor hot tubs has been called “hot tub lung.” Most of these cases of hypersensitivity pneumonitis were, in fact, caused by Mycobacterium avium complex. We describe a case of hypersensitivity pneumonitis caused by M. terrae. A 54-year-old man presented with a 4-month history of exertional dyspnea, cough, and sputum. The patient had been working in a fishery for 5 years. Approximately 3 months before the onset of symptoms, he began working at another fishery. His chest CT scans showed diffuse ground-glass opacities with multifocal air trappings and centrilobular nodules in both lungs. Transbronchial lung biopsy specimens revealed hypersensitivity pneumonitis. M. terrae was isolated from a mycobacterial culture of his sputum and the water at the fishery.
Key Words: Extrinsic allergic alveolitis; Fishery; Mycobacterium terrae


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