Hot-tub lung: Hypersensitivity to Mycobacterium avium but not hypersensitivity pneumonitis

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Pneumonitis due to Mycobacterium avium complex in hot tub water: infection or hypersensitivity?

We read with interest the paper by Embil et al (March 1997)1 because their first case resembled a patient we recently described in CHEST (January 1997).2 In our case, there was no doubt that we were dealing with an infection acquired from a hot tub. The patient's condition deteriorated despite discontinuation of the use of the hot tub, and dramatically improved after appropriate antimycobacteri...

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Pulmonary illness associated with exposure to Mycobacterium-avium complex in hot tub water. Hypersensitivity pneumonitis or infection?

BACKGROUND Mycobacterium avium complex is common in water. When aerosolized, it is frequently inhaled but rarely causes illness in healthy people. Hypersensitivity pneumonitis to inhaled aerosols has been described; these aerosols are from several sources of water. The pneumonitis forms are collectively known as humidifier lung; the responsible agent in the water remains uncertain. PURPOSE To...

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Hypersensitivity pneumonitis due to exposure to Mycobacterium avium.

Hypersensitivity pneumonitis (HP), or extrinsic allergic alveolitis, is a group of inflammatory lung diseases that usually affect the more peripheral airways and are induced immunologically after the reiterated inhalation of different materials, fundamentally organic substances and low-molecular-weight chemical compounds.1 Disorders similar to HP have been described in patients who have had mas...

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Hypersensitivity pneumonitis reaction to Mycobacterium avium in household water.

BACKGROUND Hypersensitivity pneumonitis has been described with exposure to aerosolized Mycobacterium avium complex (MAC) in indoor hot tubs (hot tub lung). OBJECTIVES To describe a case of MAC-associated hypersensitivity pneumonitis-like reaction possibly from showering and review previous hot tub lung reports. METHODS For the case report, we investigated a patient with histologically diag...

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A case of familial hot tub lung

Hot tub lung is a lung disease caused by Mycobacterium avium complex. We report the first case of familial hot tub lung appearing simultaneously in a husband and wife. Our case supports the consideration that hot tub lung is a hypersensitivity pneumonitis rather than an infectious lung disease. It also suggests that the state of hot tub lung changes seasonally depending on temperature variation...

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ژورنال

عنوان ژورنال: Respiratory Medicine

سال: 2006

ISSN: 0954-6111

DOI: 10.1016/j.rmed.2006.03.041