Ýstiridye Mantarlarýnýn Neden Olduðu Hipersensitivite Pnömonisi: Mantar Ýþçisi Akciðeri Olgusu

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.

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

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.