Article: Hypersensitivity pneumonitis.(Clinical Capsules)(Brief Article)

Hypersensitivity pneumonitis has been associated with aerosolized Mycobacterium avium complex in indoor hot tubs, but a recent case suggests that showering water might also pose a risk, Theodore K. Marras, M.D., of the University of Toronto and his colleagues reported.

The case involved a 50-year-old man with histologically proven hypersensitivity pneumonitis; MAC-positive sputum culture findings; and progressive dyspnea, episodic fever, and myalgias. The symptoms were similar to those of reported hot tub-associated cases (often called "hot tub lung"), but multiple samples from the respiratory tract and from the patient's shower and bathtub grew MAC with matching ...

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