Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Hot Tub Lung

온수욕조 폐 1예

  • Kim, Min (Department of Internal Medicine, Kyungpook National University School of Medicine) ;
  • Cha, Seung-Ick (Department of Internal Medicine, Kyungpook National University School of Medicine) ;
  • Shin, Kyung-Min (Department of Radiology, Kyungpook National University School of Medicine) ;
  • Yoon, Ghil-Suk (Department of Pathology, Kyungpook National University School of Medicine) ;
  • Bae, Jung-Hyun (Department of Pathology, Kyungpook National University School of Medicine) ;
  • Yoon, Won-Kyung (Department of Internal Medicine, Kyungpook National University School of Medicine) ;
  • Lee, Shin-Yup (Department of Internal Medicine, Kyungpook National University School of Medicine) ;
  • Kim, Chang-Ho (Department of Internal Medicine, Kyungpook National University School of Medicine) ;
  • Park, Jae-Yong (Department of Internal Medicine, Kyungpook National University School of Medicine) ;
  • Jung, Tae-Hoon (Department of Internal Medicine, Kyungpook National University School of Medicine)
  • 김민 (경북대학교 의학전문대학원 내과학교실) ;
  • 차승익 (경북대학교 의학전문대학원 내과학교실) ;
  • 신경민 (경북대학교 의학전문대학원 영상의학교실) ;
  • 윤길숙 (경북대학교 의학전문대학원 병리학교실) ;
  • 배정현 (경북대학교 의학전문대학원 병리학교실) ;
  • 윤원경 (경북대학교 의학전문대학원 내과학교실) ;
  • 이신엽 (경북대학교 의학전문대학원 내과학교실) ;
  • 김창호 (경북대학교 의학전문대학원 내과학교실) ;
  • 박재용 (경북대학교 의학전문대학원 내과학교실) ;
  • 정태훈 (경북대학교 의학전문대학원 내과학교실)
  • Received : 2009.11.19
  • Accepted : 2009.12.11
  • Published : 2010.04.30
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Abstract

Hot tub lung is a lung disorder associated with exposure to hot tub water contaminated with Mycobacterium avium complex (MAC). Although its pathogenesis remains unclear, it may be considered hypersensitivity pneumonitis (HP) rather than an infectious disease. We report a case which fulfilled the current diagnostic criteria of hot tub lung. A patient had worked as a cleaner in the public bath for approximately one year and presented with dyspnea for over one month. The computed tomographic finding of bilateral ground glass attenuation and pathologic finding of granulomatous inflammation were consistent with HP. MAC was isolated from bronchoalveolar lavage fluid and hot tub water. After corticosteroid treatment without antimycobacterial medication, the patient improved and there has been no recurrence. The patient has since discontinued working in the public bath.

Keywords

References

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