Occupational Asthma Reference

Bellanger AP, Morisse-Pradier H, Reboux G, Scherer E, Pramil S, Dominique S, Millon L, Hypersensitivity pneumonitis in a cystic fibrosis patient, Occup Med, 2019;69:523-524,https://doi.org/10.1093/occmed/kqaa021

Keywords: HP,France, case report, CF, Mycobacterium immunogenum, Pseudomonas oleovorans

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Hypersensitivity pneumonitis (HP) is a chronic inflammatory lung disease caused by repeated inhalation of antigenic substances. We present a case of metalworking fluids (MWFs)-HP sensitized to Pseudomonas oleovorans in a cystic fibrosis patient. This case illustrates that HP diagnosis remains challenging, especially in patients with another pulmonary disease, and that serodiagnosis contributes to identifying the precise microorganism involved. It also demonstrates that P. oleovorans is an important secondary aetiological agent in MWF-HP, less known than Mycobacterium immunogenum.

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