[Hypersensitivity pneumonitis presenting as acute respiratory distress syndrome].

Abstract:

INTRODUCTION:Hypersensitivity pneumonitis (HP) are typically subacute in their presentation and the diagnosis may be difficult. METHOD:We report a case of a hypersensitivity pneumonitis in a 27-years-old woman, caused by exposure to mould in an insalubrious mobile home. The initial presentation was with acute respiratory distress syndrome complicating RSV pneumonia, treated with ribavirin and corticosteroids in winter 2013-2014. The diagnosis of hypersensitivity pneumonitis was based on clinical and radiological relapse occurring during winter 2014-2015 with confirmed exposure to antigen with fungal sampling at home, respiratory deterioration with antigen rechallenge and a compatible chest CT-scan. CONCLUSION:The diagnosis of hypersensitivity pneumonitis should be considered in similar cases. Treatment is based mainly on removing exposure to the causative antigen.

journal_name

Rev Mal Respir

authors

Arnouat B,Léveiller G,Barbarot N,Kerjouan M,Lederlin M,Desrues B,Jouneau S

doi

10.1016/j.rmr.2017.12.006

subject

Has Abstract

pub_date

2019-06-01 00:00:00

pages

747-751

issue

6

eissn

0761-8425

issn

1776-2588

pii

S0761-8425(18)31012-X

journal_volume

36

pub_type

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