Mycobacterium phocaicum and Mycobacterium avium-intracellulare in a patient with hot tub lung
نویسندگان
چکیده
A 77-year-old woman who used her spa pool at least twice a day to relieve pain from osteoarthritis, developed progressive breathlessness, impaired pulmonary function, and radiographic changes consistent with hypersensitivity pneumonitis-like lung disease. M ycobacterium avium-intracellulare complex (MAC) was cultured from bronchoalveolar lavage fluid. Transbronchial biopsies revealed non-necrotizing granulomatous inflammation. Sputum and spa pool water cultured M ycobacterium phocaicum but not MAC. She stopped using the spa pool and was treated with oral prednisone, which led to symptomatic, pulmonary function, and radiographic improvement. This is the first case of hypersensitivity pneumonitis-like granulomatous lung disease associated with exposure to M . phocaicum in spa pool water.
منابع مشابه
Pneumonitis due to Mycobacterium avium complex in hot tub water: infection or hypersensitivity?
We read with interest the paper by Embil et al (March 1997)1 because their first case resembled a patient we recently described in CHEST (January 1997).2 In our case, there was no doubt that we were dealing with an infection acquired from a hot tub. The patient's condition deteriorated despite discontinuation of the use of the hot tub, and dramatically improved after appropriate antimycobacteri...
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