A 73-year-old man visited our hospital for persistent cough. Chest high-resolution CT (HRCT) showed infiltration shadows in lower lobes and diffuse ground glass opacities in the upper lobes. Blood tests showed elevated white blood cell, C-reactive protein, surfactant protein D, and Krebs von den Lungen-6 levels. After an antigen avoidance test, his HRCT and blood test findings improved; we diagnosed him with hypersensitivity pneumonitis (HP). A culture of the rotting interior walls within his home revealed , which we believe caused his HP. Given the few patients with induced HP, systematic approach was important to identify the inciting antigen.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10975500 | PMC |
http://dx.doi.org/10.1016/j.rmcr.2024.102013 | DOI Listing |
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