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30 Cards in this Set

  • Front
  • Back
Animal handler lung
Acute presentation: flu-like illness with cough;
Subacute: recurrent "pneumonia";
Chronic: exertional dyspnea, productive cough, and weight loss;
The exposure is to urine, serum, and fur of laboratory animals, and the suspected antigens are animal proteins.
Bagassosis
Acute presentation: flu-like illness with cough;
Subacute: recurrent "pneumonia";
Chronic: exertional dyspnea, productive cough, and weight loss;
The exposure is to moldy sugarcane, and the suspected antigen is thermophilic bacteria.
Bird breeder lung
Acute presentation: flu-like illness with cough;
Subacute: recurrent "pneumonia";
Chronic: exertional dyspnea, productive cough, and weight loss;
The exposure is to bird droppings and feathers, and the suspected antigen is avian protein.
Cheese washer lung
Acute presentation: flu-like illness with cough;
Subacute: recurrent "pneumonia";
Chronic: exertional dyspnea, productive cough, and weight loss;
The exposure is to moldy cheese casings, and the suspected antigen is the fungus, Pencillum casei or P. roqueforti.
Compost HP
Acute presentation: flu-like illness with cough;
Subacute: recurrent "pneumonia";
Chronic: exertional dyspnea, productive cough, and weight loss;
The exposure is to moldy compost, and the suspected antigen is the fungus (Aspergillus).
Dry rot HP
Acute presentation: flu-like illness with cough;
Subacute: recurrent "pneumonia";
Chronic: exertional dyspnea, productive cough, and weight loss;
The exposure is to moldy rotten wood dust, and the suspected antigen is the fungus Merulius lacrymans.
Esparto grass HP
Acute presentation: flu-like illness with cough;
Subacute: recurrent "pneumonia";
Chronic: exertional dyspnea, productive cough, and weight loss;
The exposure is to moldy esparto grass dust, and the suspected antigen is the Aspergillus.
Farmer's lung disease
Acute presentation: flu-like illness with cough;
Subacute: recurrent "pneumonia";
Chronic: exertional dyspnea, productive cough, and weight loss;
The exposure is to moldy hay, and the suspected antigens are the thermophilic actinomycetes and the fungus (Aspergillus sp.).
Greenhouse HP
Acute presentation: flu-like illness with cough;
Subacute: recurrent "pneumonia";
Chronic: exertional dyspnea, productive cough, and weight loss;
The exposure is to moldy soil, and the suspected antigens are the fungi Aspergillus sp., Penicillium sp., and Cryptostroma corticale.
Hot tub HP
Acute presentation: flu-like illness with cough;
Subacute: recurrent "pneumonia";
Chronic: exertional dyspnea, productive cough, and weight loss;
The exposure is to contaminated hot tub mist, and the suspected antigen is Mycobacterium avium complex. [Murray, p. 1784] Nontuberculous mycobacteria were detected in 72% of air or water samples from 18 public hot tubs and warm water therapy pools.
Humidifier HP
Acute presentation: flu-like illness with cough;
Subacute: recurrent "pneumonia";
Chronic: exertional dyspnea, productive cough, and weight loss;
The exposure is to mist from contaminated standing water, and the suspected antigens are T. candidus, Bacillus subtilis, B. cereus, Aureobasidium pullulans, and Acanthamoeba polyhaga.
Isocyanate HP
Acute presentation: flu-like illness with cough;
Subacute: recurrent "pneumonia";
Chronic: exertional dyspnea, productive cough, and weight loss;
The exposure occurs during the production or use of polyurethane paints, resins, or foams, and the suspected antigens are the isocyanate chemicals, e.g., TDI, MDI, or HDI.
Japanese summer-type HP
Acute presentation: flu-like illness with cough;
Subacute: recurrent "pneumonia";
Chronic: exertional dyspnea, productive cough, and weight loss;
The exposure is to moldy wood and mats, and the suspected antigen is the fungus, Trichosporon cutaneum.
Lifeguard lung
Acute presentation: flu-like illness with cough;
Subacute: recurrent "pneumonia";
Chronic: exertional dyspnea, productive cough, and weight loss;
The exposure is to indoor swimming pool aerosols, and the suspected antigens are bacterial endotoxins.
Malt worker lung
Acute presentation: flu-like illness with cough;
Subacute: recurrent "pneumonia";
Chronic: exertional dyspnea, productive cough, and weight loss;
The exposure is to moldy barley, and the suspected antigen is the fungus, Aspergillus clavatus.
Maple bark HP
Acute presentation: flu-like illness with cough;
Subacute: recurrent "pneumonia";
Chronic: exertional dyspnea, productive cough, and weight loss;
The exposure is to moldy wood bark, and the suspected antigen is the fungus, Cryptostroma corticale.
Metalworking fluids HP
Acute presentation: flu-like illness with cough;
Subacute: recurrent "pneumonia";
Chronic: exertional dyspnea, productive cough, and weight loss;
The exposure is to microbially contaminated, water-based metalworking fluids (MWFs) used by machinists, and the antigens are mainly Mycobacteria immunogenum; Nontuberculous Mycobacterial Diseases) Forty-four cases of MWF HP occurring in ten different plants have been confirmed by lung biopsy. Concentrations of MWF aerosols in these plants were in most cases below the current OSHA standard. Recent studies have implicated Mycobacteria immunogenum, closely related to M. chelonae, as the causal agent. Improved engineering controls are needed to reduce exposure to MWFs
Mollusc shell HP
Acute presentation: flu-like illness with cough;
Subacute: recurrent "pneumonia";
Chronic: exertional dyspnea, productive cough, and weight loss;
Workers are exposed while sawing and grinding mollusc shells to make nacre (mother-of-pearl) buttons. The suspected antigen is aquatic animal proteins.
Mushroom worker lung
Acute presentation: flu-like illness with cough;
Subacute: recurrent "pneumonia";
Chronic: exertional dyspnea, productive cough, and weight loss;
The exposure is to moldy mushroom compost, and the suspected antigen is to the thermophilic bacteria, T. sacchari.
Peat moss HP
Acute presentation: flu-like illness with cough;
Subacute: recurrent "pneumonia";
Chronic: exertional dyspnea, productive cough, and weight loss;
The exposure is to moldy peat moss dust, and the suspected antigens are the fungi Monocillium sp. and Penicillium citreonigrum.
Sequoiosis
Acute presentation: flu-like illness with cough;
Subacute: recurrent "pneumonia";
Chronic: exertional dyspnea, productive cough, and weight loss;
The exposure is to moldy wood dust, and the suspected antigen is the fungi, Graphium, Aureobasidium pullulans.
Silk production HP
Acute presentation: flu-like illness with cough;
Subacute: recurrent "pneumonia";
Chronic: exertional dyspnea, productive cough, and weight loss;
The exposure is to silk worm larvae, and the suspected antigens are silk worm larvae proteins.
Soy sauce brewer lung
Acute presentation: flu-like illness with cough;
Subacute: recurrent "pneumonia";
Chronic: exertional dyspnea, productive cough, and weight loss;
The exposure is to fermentation starter for soy sauce, and the suspected antigen is the fungus Aspergillus oryzae.
Suberosis
Acute presentation: flu-like illness with cough;
Subacute: recurrent "pneumonia";
Chronic: exertional dyspnea, productive cough, and weight loss;
The exposure is to moldy cork dust, and the suspected antigen is the fungus, Penicillum frequentans.
TMA (Trimellitic anhydride) HP
Acute presentation: flu-like illness with cough;
Subacute: recurrent "pneumonia";
Chronic: exertional dyspnea, productive cough, and weight loss;
The exposure occurs during production of anhydrides, and the suspected antigen is the anhydride chemical.
Tobacco worker lung
Acute presentation: flu-like illness with cough;
Subacute: recurrent "pneumonia";
Chronic: exertional dyspnea, productive cough, and weight loss;
The exposure is to moldy tobacco dust, and the suspected antigen is the fungus Aspergillus sp.
Tree cutter lung
Acute presentation: flu-like illness with cough;
Subacute: recurrent "pneumonia";
Chronic: exertional dyspnea, productive cough, and weight loss;
The exposure is to wood chips from living maple and oak trees, and the suspected antigens are Penicillium (three species), Paecilomyces sp., Aspergillus niger, Aspergillus sp., and Rhizopus sp. [See Reference Link] Three cases of HP were diagnosed in employees of a hardwood processing plant. Mold growth (Paecilomyces) was detected, and growth was promoted by drying the lumber in a kiln.
Wheat weevil HP
Acute presentation: flu-like illness with cough;
Subacute: recurrent "pneumonia";
Chronic: exertional dyspnea, productive cough, and weight loss;
The exposure is to infested flour, and the suspected antigen is the wheat weevil (Sitophilus granarius).
Wood pulp worker lung
Acute presentation: flu-like illness with cough;
Subacute: recurrent "pneumonia";
Chronic: exertional dyspnea, productive cough, and weight loss;
The exposure is to moldy wood pulp, and the suspected antigen is the fungus, Alternaria sp.
Wood trimmer lung
Acute presentation: flu-like illness with cough;
Subacute: recurrent "pneumonia";
Chronic: exertional dyspnea, productive cough, and weight loss;
The exposure is to moldy wood trimmings, and the suspected antigen is the fungus (Rhizopus species).