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 |
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양어장 근무자에서 Mycobacterium terrae에 의해 발생한 과민성폐렴 1예 |
김은영1, 권용수1, 오인재1, 임성철1, 김영철1, 최유덕2, 선현주3 |
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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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