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Abstract

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Article in Japanese

Case Report

A case of hot tub lung caused by shower from hot water storage tank

Hiroyoshi Yamauchi  Masashi Bando  Yu Komatsu  Yoko Hiraki  Naoko Mato  Takakiyo Nakaya  Hideaki Yamasawa  Yukihiko Sugiyama 

Division of Pulmonary Medicine, Jichi Medical University

ABSTRACT

A 78-year-old man with a chief complaint of productive cough and dyspnea on exertion demonstrated patchy areas of ground-glass attenuation and centrilobular nodules scattered in both lung fields on high-resolution CT. Lung biopsy specimens at bronchoscopy revealed inflammatory cell infiltration to the interstitium around the respiratory bronchiole, and thickened alveolar septa were infiltrated by lymphocytes. Culture of both bronchoalveolar lavage fluid and a shower from a hot water storage tank showed the growth of Mycobacterium avium complex (MAC). Although hot tub lung cases were reported in Japan, there is no case report of a shower from a hot water storage tank.

KEYWORDS

Mycobacterium avium complex  Hot tub lung 

Received 27 Jun 2013 / Accepted 10 Feb 2014

AJRS, 3(4): 525-529, 2014

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