A Lung Granuloma Case Possibly Associated with a Working Environment: A Case Report
Autor: | Naesinee Chaiear, Sankom Seehapanya, Piyapharom Intarawichian, Kittipan Samerpitak, Lumyai Wonglakorn, Pailin Ratanawatkul |
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Rok vydání: | 2021 |
Předmět: |
Pathology
medicine.medical_specialty occupational lung Case Report Medicine Lung Granuloma Safety Risk Reliability and Quality Aspergillus Solitary pulmonary nodule Chemical Health and Safety Lung biology business.industry Impaction aspergillus Public Health Environmental and Occupational Health Nodule (medicine) biology.organism_classification medicine.disease Myasthenia gravis lung granuloma working environment medicine.anatomical_structure Public aspects of medicine RA1-1270 medicine.symptom business Safety Research Working environment |
Zdroj: | Safety and Health at Work, Vol 12, Iss 2, Pp 268-271 (2021) Safety and Health at Work |
ISSN: | 2093-7911 |
Popis: | 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. |
Databáze: | OpenAIRE |
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