Sauna lung: Hypersensitivity pneumonitis due to Exophiala jeanselmei |
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| Authors: | Wei‐Chen HUANG Yin‐Hsiu LU Zih‐Gong LIN Wen‐Lin SU |
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| Affiliation: | 1. Departments of Internal Medicine and;2. National Defense Medical Center, Taipei, Taiwan;3. Pathology, and;4. Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Tri‐Service General Hospital, and |
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| Abstract: | A 55‐year‐old man developed progressive cough and dyspnoea after regular attendance at a public steam bath. Hypoxaemia, diffuse pulmonary infiltrates and a predominance of lymphocytes with an increased percentage of CD8+ T cells in his bronchoalveolar lavage fluid suggested hypersensitivity pneumonitis. Microbial cultures from the steam bath room and tank identified Exophiala jeanselmei. Immunoblotting assays from the patient's serum confirmed the major antigenic stimulus. The patient recovered fully after systemic corticosteroid treatment and cessation of further exposure. |
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| Keywords: | Exophiala jeanselmei hypersensitivity pneumonitis Sauna takers disease steam bath |
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