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...

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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
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author Geetika Verma
Frances Jamieson
Pamela Chedore
David Hwang
Scott Boerner
William R Geddie
Kenneth R Chapman
Theodore K Marras
author_facet Geetika Verma
Frances Jamieson
Pamela Chedore
David Hwang
Scott Boerner
William R Geddie
Kenneth R Chapman
Theodore K Marras
author_sort Geetika Verma
collection DOAJ
description 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.
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institution Kabale University
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series Canadian Respiratory Journal
spelling doaj-art-70f0218ebae641a1bdef6e7307601db12025-02-03T00:58:55ZengWileyCanadian Respiratory Journal1198-22412007-01-0114635435610.1155/2007/138270Hot Tub Lung Mimicking Classic Acute and Chronic Hypersensitivity Pneumonitis: Two Case ReportsGeetika Verma0Frances Jamieson1Pamela Chedore2David Hwang3Scott Boerner4William R Geddie5Kenneth R Chapman6Theodore K Marras7Department of Medicine, Division of Respirology, University Health Network, University of Toronto, CanadaClinical and Environmental Microbiology, Public Health Laboratories Branch, Ontario Ministry of Health and Long-Term Care, CanadaTuberculosis and Mycobacteriology Laboratory, Public Health Laboratories Branch, Ontario Ministry of Health and Long-Term Care, CanadaDepartment of Pathology, University Health Network, University of Toronto, Toronto, Ontario, CanadaDepartment of Pathology, University Health Network, University of Toronto, Toronto, Ontario, CanadaDepartment of Pathology, University Health Network, University of Toronto, Toronto, Ontario, CanadaDepartment of Medicine, Division of Respirology, University Health Network, University of Toronto, CanadaDepartment of Medicine, Division of Respirology, University Health Network, University of Toronto, CanadaPulmonary 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.http://dx.doi.org/10.1155/2007/138270
spellingShingle Geetika Verma
Frances Jamieson
Pamela Chedore
David Hwang
Scott Boerner
William R Geddie
Kenneth R Chapman
Theodore K Marras
Hot Tub Lung Mimicking Classic Acute and Chronic Hypersensitivity Pneumonitis: Two Case Reports
Canadian Respiratory Journal
title Hot Tub Lung Mimicking Classic Acute and Chronic Hypersensitivity Pneumonitis: Two Case Reports
title_full Hot Tub Lung Mimicking Classic Acute and Chronic Hypersensitivity Pneumonitis: Two Case Reports
title_fullStr Hot Tub Lung Mimicking Classic Acute and Chronic Hypersensitivity Pneumonitis: Two Case Reports
title_full_unstemmed Hot Tub Lung Mimicking Classic Acute and Chronic Hypersensitivity Pneumonitis: Two Case Reports
title_short Hot Tub Lung Mimicking Classic Acute and Chronic Hypersensitivity Pneumonitis: Two Case Reports
title_sort hot tub lung mimicking classic acute and chronic hypersensitivity pneumonitis two case reports
url http://dx.doi.org/10.1155/2007/138270
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