Respir Case Rep. 2018; 7(1): 1-4 | DOI: 10.5505/respircase.2018.25901

Ýstiridye Mantarlarýnýn Neden Olduðu Hipersensitivite Pnömonisi: Mantar Ýþçisi Akciðeri Olgusu

Taha Tahir Bekçi¹, Mustafa Çalýk², Burcu Yalçýn^1
1Konya Eðitim Ve Araþtýrma Hastanesi, Göðüs Hastalýklarý Kliniði, Konya
²Konya Eðitim Ve Araþtýrma Hastanesi, Göðüs Cerrahisi Kliniði, Konya

Mantar ticari üretimi yýl boyu kapalý iklimlendirilmiþ ortamlarda emek yoðun þekilde yapýlmaktadýr. Kapalý ekim, iþçilerde ekstrensek allerjik alveolitis olarak bilinen hipersensitivite pnömonisi gibi alerjik semptomlara yol açar. Yirmi üç yaþýndaki erkek hastanýn yakýnmalarý mantar üretim iþine baþladýktan sonra ortaya çýkmýþ. Hasta, üþüme, titreme, ateþ, eklem aðrýlarý, cilt döküntüleri þikâyetiyle kliniðimize baþvurdu. Hastanýn anamnez, fizik muayene ve radyolojik incelenmesinde hipersensitivite pnömonisi düþünülerek medikal tedavi baþlandý. Hastanýn yakýnmalarý birkaç gün sonra geriledi. Birinci haftanýn sonunda taburcu edildi. Hastalýðýn tanýsýnda güçlüklerle karþýlaþýlsa da anamnez, fizik muayene ve radyolojik deðerlendirmede akýlda tutulmalýdýr.

Anahtar Kelimeler: Ýstiridye mantarý, Pleurotus ostreatus, hipersensitivite pnömonisi, mantar iþçisi akciðeri

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Hypersensitivity Pneumonitis Caused by Oyster Mushrooms: A Case of Mushroom Worker's Lung

Taha Tahir Bekçi¹, Mustafa Çalýk², Burcu Yalçýn^1
1Department of Chest Disease, Konya Education and Research Hospital, Konya, Turkey
²Department of Thoracic Surgery, Konya Education and Re-search Hospital, Konya, Turkey

The commercial production of mushrooms is often carried out in indoor areas and controlled environments with intense labor performed throughout the year. Indoor cultivation can lead to allergic symptoms, such as extrinsic allergic alveolitis, also known as hypersensitivity pneumonitis, in workers. A 23-year-old male patient's symptoms emerged after beginning to work in mushroom cultivation. The patient was admitted to the clinic with complaints of chills, fever, joint pain, and a skin rash. Based on his medical history and a physical and radiographical examination, the patient was diagnosed as hypersensitivity pneumonitis and medical therapy was initiated. The patient's symptoms dis-appeared within a few days and he was discharged at the end of the first week. Given the difficulties in the diagnosis of disease, the patient’s professional history should always be kept in mind as well as medical history, physical examination, and radiographic evaluation.

Keywords: Oyster Mushroom, Pleurotus ostreatus, hypersensitivity pneumonitis, Mushroom worker's lung

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