Yasui Hideki, Matsui Takashi, Yokomura Koshi, Nakano Yutaka, Suda Takafumi, Chida Kingo
Department of Respiratory Medicine, Respiratory Disease Center, Seirei Mikatahara Hospital.
Nihon Kokyuki Gakkai Zasshi. 2010 Feb;48(2):172-7.
We report 3 cases of occupational hypersensitivity pneumonitis in citrus farmers. They were admitted to our hospital with abnormal chest shadows with coughs, fevers and breathlessness between January and February, but their symptoms disappeared with isolation from their workplace. The diagnoses were comprehensively confirmed by their occupational histories, radiological findings, and the positive findings of environmental provocation tests. Although we cannot clearly determine the pathogenic antigen of this hypersensitivity pneumonitis, Aspergillus and Penicillium might be the causative agents, because they were detected in the patients' workplaces and in double immunodiffusion tests. In Ouchterlony's immunodiffusion test, these antigens were positive in some patients.
我们报告了3例柑橘种植农民职业性过敏性肺炎病例。他们于1月至2月因胸部阴影异常、咳嗽、发热和呼吸急促入住我院，但脱离工作场所后症状消失。通过职业病史、放射学检查结果以及环境激发试验的阳性结果综合确诊。虽然我们无法明确确定这种过敏性肺炎的致病抗原，但曲霉和青霉可能是病原体，因为在患者的工作场所及双向免疫扩散试验中均检测到了它们。在欧氏免疫扩散试验中，这些抗原在部分患者中呈阳性。
