Sunday, March 15, 2009

Causes of Extrinsic Allergic Alveolitis

Commonly asked extrinsic allergic alveolitis:
Bird fancier's lungs: Parakeet, pigeon, chicken, turkey proteins etc from avian droppings or feathers
Cheese worker's lungs: Penicillum casei
Chemical worker's lung: Isocyanates from polyurethane foam, varnishes, lacquer
Coffee worker's lung: from Coffee bean dust
Compost lung: Aspergillus
Contaminated basement (Sewage): Cephalosporium
Farmer's lung: Thermophilic actinomycetes in mouldy hay, grain, silage
Fish food / meal lung: ? ageng from fish food
Hot tub lung: Cladosporium sp from mold on ceiling
House worker / cleaner: Bacillus subtilis enzymes from detergents
Humidifier or airconditioner lung (Ventilation pneumonitis): due to aureobasidium pullulans, candida albicans, other microorganisms from contaminated water in humidification or forced-air conditioning systems
Lab worker's lung: From rat urine
Lycoperdonosis: due to puffball spores (Lycoperdon)
Farmer's lungs (Micropolyspora faeni)
Malt worker's lung (Aspergillus clavatus or fumigatus)
Maple bark disease: Cryptostroma corticale from maple bark
Miscellaneous Medications lung disease: amiodarone, bleomycin, efaviren, hydralazine, hydroxyurea, isoniazid, methotrexate, paclitaxel, penicillin, procabazine, propranolol, sulfazsalazine
Pituitary snuff taker's lung: due to animal protein from pituitary snuff
Potato riddler's lung: thermophilic actinomycetes, aspergillus from mouldy hay around potatoes)
Sauna taker's lungs: Aureobasidium sp & other organisms from contaminated sauna water
Sausage worker's lung: Penicillium nalgiovense from dry sausages
Tobacco worker's lung: Aspergillus sp from mould on tobacco
Wood worker/ trimmer's lung: due to Rhizopus sp, Mucor Sp, aspergillus sp from contaminated wood dust
Sugarcane or Bagassosis Lung (Thermophilic actinomycetes from 'moldy' sugarcane)
Mushroom worker's lungs (Thermophilic actinomycetes from mushroom compost)
BAL: Shows increased lymphocytes in EAA (Eosinophils not typically elevated in blood).

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