| Hypersensitivity pneumonitis due to molds in a saxophone player. | |
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MedLine Citation:
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PMID: 20822994 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Flora Metzger; Amaryllis Haccuria; Gabriel Reboux; Nicole Nolard; Jean-Charles Dalphin; Paul De Vuyst |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Chest Volume: 138 ISSN: 1931-3543 ISO Abbreviation: Chest Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-09-08 Completed Date: 2010-10-14 Revised Date: 2011-04-07 |
Medline Journal Info:
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Nlm Unique ID: 0231335 Medline TA: Chest Country: United States |
Other Details:
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Languages: eng Pagination: 724-6 Citation Subset: AIM; IM |
Affiliation:
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Department of Respiratory Disease, Jean Minjoz University Hospital, Besançon, France. fmetzger@chu-besancon.fr |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Alveolitis, Extrinsic Allergic
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diagnosis*,
microbiology*,
therapy Botrytis* Humans Lung Diseases, Interstitial / diagnosis, microbiology*, therapy Male Middle Aged Music* Occupational Diseases / diagnosis, microbiology*, therapy |
| Comments/Corrections | |
Comment In:
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Chest. 2011 Mar;139(3):729; author reply 729-30
[PMID:
21362668
]
Chest. 2010 Sep;138(3):467-8 [PMID: 20822980 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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