Rivero M G, Basile L M, Salvatore A J, Fridlender H, Maxit M
Servicio de Clínica Médica, Hospital Privado de Comunidad, Mar del Plata.
Medicina (B Aires). 1999;59(4):367-9.
Hypersensitivity pneumonitis (HP) is the clinical manifestation of an pulmonary immunological reaction to inhaled antigens. The list of provocative antigens and specific illnesses grows permanently. A woman of 56 years consulted for dyspnea and cough of two months of evolution. She worked in a factory of sausages removing the dust that recovers the salamis during their stationing. She presented hypoxemia and the pulmonary function test revealed a predominantly obstructive pattern. The x-ray of the thorax was normal and the high resolution computed tomography showed a mosaic pattern. A lung biopsy confirmed the diagnosis of HP. She improved with systemic corticosteroids and the avoidance of antigen exposure. In the cultures of the material that recovers the salamis, Penicillium spp. was recovered and was interpreted as the probable etiological agent of this HP, which we have denominated "the salami worker's lung".
过敏性肺炎（HP）是肺部对吸入抗原的免疫反应的临床表现。引发抗原和特定疾病的清单一直在增加。一名56岁女性因持续两个月的呼吸困难和咳嗽前来就诊。她在一家香肠工厂工作，负责清除香肠腌制过程中回收的灰尘。她出现低氧血症，肺功能测试显示主要为阻塞性模式。胸部X光正常，高分辨率计算机断层扫描显示为马赛克样模式。肺活检确诊为HP。她通过全身使用皮质类固醇并避免接触抗原后病情好转。在回收香肠的材料培养物中，分离出了青霉菌属，并被解释为该例HP的可能病原体，我们将其命名为“香肠工人肺”。
