Hot Tub Lung Mimicking Classic Acute and Chronic Hypersensitivity Pneumonitis: Two Case Reports

Pulmonary disease in otherwise healthy patients can occur by secondary exposure to nontuberculous mycobacteria from hot tubs. The pathology of hot tub lung may be related to an infection, a hypersensitivity reaction or both. Previous reports of hot tub lung have highlighted distinct pathological fea...

Full description

Saved in:
Bibliographic Details
Main Authors: Geetika Verma, Frances Jamieson, Pamela Chedore, David Hwang, Scott Boerner, William R Geddie, Kenneth R Chapman, Theodore K Marras
Format: Article
Language:English
Published: Wiley 2007-01-01
Series:Canadian Respiratory Journal
Online Access:http://dx.doi.org/10.1155/2007/138270
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Pulmonary disease in otherwise healthy patients can occur by secondary exposure to nontuberculous mycobacteria from hot tubs. The pathology of hot tub lung may be related to an infection, a hypersensitivity reaction or both. Previous reports of hot tub lung have highlighted distinct pathological features that have distinguished this entity from classic hypersensitivity pneumonitis. Two cases of hot tub lung in Ontario, which presented at very different time points in their disease course, are reported; one patient presented more fulminantly with a clinical picture resembling subacute hypersensitivity pneumonitis, and the other presented with chronic disease. Both cases exhibited clinical, radiological and pathological findings closely mimicking classic subacute and chronic hypersensitivity pneumonitis.
ISSN:1198-2241