Bagassosis, rare cause of hypersensitivity pneumonitis: A case report

Hypersensitivity pneumonitis (HP), also called extrinsic allergic alveolitis, is a respiratory syndrome involving the lung parenchyma specifically the alveoli, terminal bronchioles and alveolar interstitium. HP is caused by delayed allergic reaction to variety of antigens like microbes, animal prote...

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Autores principales:	Tyagi Arun, Jadhav Sagar, Waghmare Manoj, Srivastava AK, Khare AB
Formato:	article
Lenguaje:	EN
Publicado:	Emergency Department of Hospital San Pedro (Logroño, Spain) 2020
Materias:	interstitial lung disease hypersensitivity pneumonia bagassosis Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/293e7c0435654342a51171d655fb4c25
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spelling	oai:doaj.org-article:293e7c0435654342a51171d655fb4c252021-12-02T19:14:49ZBagassosis, rare cause of hypersensitivity pneumonitis: A case report10.5281/zenodo.38343072695-5075https://doaj.org/article/293e7c0435654342a51171d655fb4c252020-05-01T00:00:00Zhttps://doi.org/10.5281/zenodo.3834307https://doaj.org/toc/2695-5075Hypersensitivity pneumonitis (HP), also called extrinsic allergic alveolitis, is a respiratory syndrome involving the lung parenchyma specifically the alveoli, terminal bronchioles and alveolar interstitium. HP is caused by delayed allergic reaction to variety of antigens like microbes, animal proteins, and low-molecular-weight chemicals. Bagassosis is one such HP caused by repetitive inhalation of bagasse. Though use of bagasse as cause of HP is known, use of bagasse in brick- kiln factory as fuel and its association with HP has not been well documented. We report a case of HP in a brick-kiln worker where bagasse was used as fuel. A twenty-five years old man, working in a brick kiln for five years, presented with complaints of dry cough, low grade fever and weight loss for one month. He had bilateral lower lobe crackles on auscultation. The history of bagasse, clay and coal dust exposure, clinical presentation and imaging were suggestive of HP. However, being endemic in India, pulmonary tuberculosis was ruled out by negative Mantoux test, sputum for acid fast bacilli and Cartridge Based Nucleic Acid Amplification Test. He was managed with corticosteroids and symptomatic treatment with good response and resolution of clinical signs and radiological changes.Tyagi ArunJadhav SagarWaghmare ManojSrivastava AKKhare ABEmergency Department of Hospital San Pedro (Logroño, Spain)articleinterstitial lung diseasehypersensitivity pneumoniabagassosisMedicine (General)R5-920ENIberoamerican Journal of Medicine, Vol 2, Iss 4, Pp 381-384 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	interstitial lung disease hypersensitivity pneumonia bagassosis Medicine (General) R5-920
spellingShingle	interstitial lung disease hypersensitivity pneumonia bagassosis Medicine (General) R5-920 Tyagi Arun Jadhav Sagar Waghmare Manoj Srivastava AK Khare AB Bagassosis, rare cause of hypersensitivity pneumonitis: A case report
description	Hypersensitivity pneumonitis (HP), also called extrinsic allergic alveolitis, is a respiratory syndrome involving the lung parenchyma specifically the alveoli, terminal bronchioles and alveolar interstitium. HP is caused by delayed allergic reaction to variety of antigens like microbes, animal proteins, and low-molecular-weight chemicals. Bagassosis is one such HP caused by repetitive inhalation of bagasse. Though use of bagasse as cause of HP is known, use of bagasse in brick- kiln factory as fuel and its association with HP has not been well documented. We report a case of HP in a brick-kiln worker where bagasse was used as fuel. A twenty-five years old man, working in a brick kiln for five years, presented with complaints of dry cough, low grade fever and weight loss for one month. He had bilateral lower lobe crackles on auscultation. The history of bagasse, clay and coal dust exposure, clinical presentation and imaging were suggestive of HP. However, being endemic in India, pulmonary tuberculosis was ruled out by negative Mantoux test, sputum for acid fast bacilli and Cartridge Based Nucleic Acid Amplification Test. He was managed with corticosteroids and symptomatic treatment with good response and resolution of clinical signs and radiological changes.
format	article
author	Tyagi Arun Jadhav Sagar Waghmare Manoj Srivastava AK Khare AB
author_facet	Tyagi Arun Jadhav Sagar Waghmare Manoj Srivastava AK Khare AB
author_sort	Tyagi Arun
title	Bagassosis, rare cause of hypersensitivity pneumonitis: A case report
title_short	Bagassosis, rare cause of hypersensitivity pneumonitis: A case report
title_full	Bagassosis, rare cause of hypersensitivity pneumonitis: A case report
title_fullStr	Bagassosis, rare cause of hypersensitivity pneumonitis: A case report
title_full_unstemmed	Bagassosis, rare cause of hypersensitivity pneumonitis: A case report
title_sort	bagassosis, rare cause of hypersensitivity pneumonitis: a case report
publisher	Emergency Department of Hospital San Pedro (Logroño, Spain)
publishDate	2020
url	https://doaj.org/article/293e7c0435654342a51171d655fb4c25
work_keys_str_mv	AT tyagiarun bagassosisrarecauseofhypersensitivitypneumonitisacasereport AT jadhavsagar bagassosisrarecauseofhypersensitivitypneumonitisacasereport AT waghmaremanoj bagassosisrarecauseofhypersensitivitypneumonitisacasereport AT srivastavaak bagassosisrarecauseofhypersensitivitypneumonitisacasereport AT khareab bagassosisrarecauseofhypersensitivitypneumonitisacasereport
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Bagassosis, rare cause of hypersensitivity pneumonitis: A case report

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