Korean J Med.  2011 Jun;80(Suppl 2):S204-S208.

A Case of Hypersensitivity Pneumonitis Caused by Mycobacterium terrae in a Fishery Worker

Affiliations
  • 1Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea. yskwon@chonnam.ac.kr
  • 2Department of Pathology, Chonnam National University Medical School, Gwangju, Korea.
  • 3Department of Radiology, Chonnam National University Medical School, Gwangju, Korea.

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.

Keyword

Extrinsic allergic alveolitis; Fishery; Mycobacterium terrae

MeSH Terms

Alveolitis, Extrinsic Allergic
Biopsy
Cough
Dyspnea
Fisheries
Humans
Hypersensitivity
Lung
Middle Aged
Mycobacterium
Mycobacterium avium Complex
Nontuberculous Mycobacteria
Sputum
Thorax
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