Chest
Selected ReportsMycobacterium avium Complex Infection in an Immunocompetent Young Adult Related to Hot Tub Exposure
Section snippets
CASE REPORT
A 20-year-old female student was referred to the senior author on February 3, 1995, with a spasmodic cough and breathlessness on minor exertion that became progressively worse since early December 1994. There was no fever, but she had lost some weight. She had recently noted a skin rash. She was a nonsmoker. There was a history of asthma in infancy, but this had not recurred. There was a hot tub that she used frequently in her home. Examination revealed scaly erythematous skin lesions on the
DISCUSSION
The afebrile course in this case, with a clinical picture of nonproductive cough and progressive breathlessness, associated with a diffuse ground-glass radiographic pattern, suggested that we were dealing with an active alveolitis, possibly a hypersensitivity pneumonitis. Pullularia, for which there was a positive precipitin test, has been identified in allergic reactions to saunas.7 The open-lung biopsy, however, showed numerous noncaseating granulomas that were evidently due to a
REFERENCES (18)
Pulmonary mycobacterial infections due to Mycobacterium intracellulare-avium complex: clinical features and course in 100 consecutive cases
Chest
(1979)- et al.
Persistent colonisation of potable water as a source of Mycobacterium avium infection in AIDS
Lancet
(1994) Mycobacterium avium complex infection in the acquired immunodeficiency syndrome
N Engl J Med
(1991)- et al.
Infection with Mycobacterium avium complex in patients without predisposing conditions
N Engl J Med
(1989) Qualitative and quantitative drug susceptibility tests in mycobacteriology
Am Rev Respir Dis
(1988)- et al.
Characterization of isolates of Mycobacterium avium serotypes 4 and 8 from patients with AIDS by multilocus enzyme electrophoresis
J Clin Microbiol
(1992) - et al.
A novel insertion element from Mycobacterium avium, IS 1245, is a specific target for analysis of strain relatedness
J Clin Microbiol
(1995) - et al.
Sauna-takers disease: hypersensitivity pneumonitis due to contaminated water in a home sauna
JAMA
(1976) - et al.
Mycobacterium avium-intracellulare complex: evaluation with CT
Radiology
(1993)
Cited by (120)
Never Feed Birds in the Hot Tub! A Case of Bird-Fancier's Lung
2022, American Journal of MedicineOpportunistic premise plumbing pathogens (OPPPs) in the built-environment
2021, Viruses, Bacteria and Fungi in the Built Environment: Designing Healthy Indoor EnvironmentsHot tub lung: A retrospective analysis of 14 cases
2021, Revue des Maladies RespiratoiresCutaneous lesions during hot-tub hypersensitivity pneumonitis: Pseudomonas folliculitis ?
2017, Annales de Dermatologie et de VenereologieReview: Environmental mycobacteria as a cause of human infection
2015, International Journal of MycobacteriologyCitation Excerpt :Many common activities expose individuals to pathogenic NTM. The most studied are hot-tub use [30,37,6], showering [8,9,17], faucet use [39,53,54] and gardening [13]. These sources have been investigated by studies matching NTM strains between the patient and the environment.