Hypersensitivity pneumonitis due to molds in a saxophone player
| Autor: | Jean-Charles Dalphin, Flora Metzger, Nicole Nolard, Gabriel Reboux, Amaryllis Haccuria, Paul De Vuyst |
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| Přispěvatelé: | Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon), Hôpital Erasme [Bruxelles] (ULB), Faculté de Médecine [Bruxelles] (ULB), Université libre de Bruxelles (ULB)-Université libre de Bruxelles (ULB), Laboratoire Chrono-environnement - CNRS - UBFC (UMR 6249) (LCE), Centre National de la Recherche Scientifique (CNRS)-Université de Franche-Comté (UFC), Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC), Institut Scientifique de Santé Publique [Belgique] - Scientific Institute of Public Health [Belgium] (WIV-ISP), Réseau International des Instituts Pasteur (RIIP), CNS Discovery Research, F. Hoffmann-La Roche [Basel], Laboratoire Chrono-environnement ( LCE ), Université Bourgogne Franche-Comté ( UBFC ) -Université de Franche-Comté ( UFC ) -Centre National de la Recherche Scientifique ( CNRS ) |
| Jazyk: | angličtina |
| Rok vydání: | 2010 |
| Předmět: |
Male
Pathology Critical Care and Intensive Care Medicine 0302 clinical medicine [ SDV.MP ] Life Sciences [q-bio]/Microbiology and Parasitology 030212 general & internal medicine Respiratory system [SDV.MP.MYC]Life Sciences [q-bio]/Microbiology and Parasitology/Mycology MESH : Lung Diseases Interstitial MESH: Music MESH: Middle Aged medicine.diagnostic_test Respiratory disease MESH : Music MESH : Occupational Diseases Middle Aged 3. Good health Occupational Diseases medicine.anatomical_structure [SDV.MP]Life Sciences [q-bio]/Microbiology and Parasitology Wind instrument Botrytis Cardiology and Cardiovascular Medicine Hypersensitivity pneumonitis Alveolitis Extrinsic Allergic Pulmonary and Respiratory Medicine MESH: Occupational Diseases medicine.medical_specialty MESH : Botrytis MESH : Male MESH : Alveolitis Extrinsic Allergic MESH: Alveolitis Extrinsic Allergic MESH: Botrytis [ SDV.EE.SANT ] Life Sciences [q-bio]/Ecology environment/Health 03 medical and health sciences Biopsy medicine Humans MESH : Middle Aged [SDV.EE.SANT]Life Sciences [q-bio]/Ecology environment/Health Lung MESH: Humans business.industry MESH : Humans medicine.disease MESH: Male Pneumonia 030228 respiratory system Ulocladium botrytis Immunology Lung Diseases Interstitial business MESH: Lung Diseases Interstitial Music |
| Zdroj: | Chest Chest, American College of Chest Physicians, 2010, 138 (3), pp.724-6. ⟨10.1378/chest.09-2991⟩ Chest, American College of Chest Physicians, 2010, 138 (3), pp.724-6 |
| ISSN: | 0012-3692 |
| DOI: | 10.1378/chest.09-2991⟩ |
| Popis: | International audience; This 48-year-old patient was evaluated for an interstitial pneumonia. An open-lung biopsy showed a pattern of nonspecific interstitial pneumonia. The CT scan appearance, showing mosaic ground-glass opacities in the ventilated parts of the lung, the centrolobular predominance of inflammation on the lung sections, and the presence of a lymphocytic alveolitis at BAL suggested a hypersensitivity pneumonitis. The patient was a white-collar worker and had no contact with pets, birds, drugs, or molds at home. He used to play the saxophone as a hobby. Two molds, Ulocladium botrytis and Phoma sp, were detected in the saxophone. Precipitating antibodies to these molds were present in his serum. An additional study confirmed the frequent colonization of saxophones with potentially pathogenic molds, such as Fusarium sp, Penicillium sp, and Cladosporium sp. Respiratory physicians should be aware of the risk of hypersensitivity pneumonitis in saxophone or perhaps other wind instrument players. |
| Databáze: | OpenAIRE |
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