Department of Respiratory Medicine, Center for Respiratory Diseases, Japan Community Healthcare Organization (JCHO) Hokkaido Hospital, Japan.
Department of Respiratory Medicine, Center for Respiratory Diseases, Japan Community Healthcare Organization (JCHO) Hokkaido Hospital, Japan.
Respir Investig. 2022 Nov;60(6):857-860. doi: 10.1016/j.resinv.2022.08.003. Epub 2022 Sep 22.
A 65-year-old woman presented to a local hospital with a 4-day history of cough, fever, and dyspnea. She had started using a composter and had been exposed to the vapor for 18 days before her first visit. She was diagnosed with acute eosinophilic pneumonia (AEP) based on her symptoms, the presence of bilateral pulmonary opacities on computed tomography, and alveolar eosinophilia confirmed by bronchoalveolar lavage. Inhalation of the composter vapor was thought to be the cause of AEP. Aspergillus fumigatus was cultured from the composter soil and the bronchoalveolar lavage fluid. She fully recovered without systemic corticosteroid administration by avoiding the composter.
一位 65 岁女性因咳嗽、发热和呼吸困难到当地医院就诊。她在首次就诊前的 18 天开始使用堆肥器，并接触了堆肥器的蒸汽。根据她的症状、计算机断层扫描显示双侧肺部混浊和支气管肺泡灌洗液中证实的肺泡嗜酸性粒细胞增多，诊断为急性嗜酸性粒细胞性肺炎（AEP）。吸入堆肥器蒸汽被认为是 AEP 的原因。从堆肥器土壤和支气管肺泡灌洗液中培养出了烟曲霉。她通过避免接触堆肥器而无需全身皮质类固醇治疗完全康复。
