Hypersensitivity pneumonitis of a bagpipe player: Fungal antigens as trigger?

Hypersensitivity pneumonitis of a bagpipe player: Fungal antigens as trigger?

Here we present a 79-year old man with chronic hypersensitivity pneumonitis probably caused by fungal contamination of a bagpipe. Several samples were taken from the patient's bagpipe. Four potential fungal antigens (Exophiala phaeomuriformis, Kwoniella europaea, Pyrenochaeta unguis-hominis and...

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Main Authors: Katharina Ziegler, Marcus Joest, Nesrin Turan, Dirk Schmidt, Peter-Michael Rath, Joerg Steinmann
Format: Article
Language:English
Published: Elsevier 2019-06-01
Series:Medical Mycology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2211753919300326
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spelling doaj-a43c9dd32ba3482394203b5dfba5dac52020-11-25T03:41:43ZengElsevierMedical Mycology Case Reports2211-75392019-06-01244447Hypersensitivity pneumonitis of a bagpipe player: Fungal antigens as trigger?Katharina Ziegler0Marcus Joest1Nesrin Turan2Dirk Schmidt3Peter-Michael Rath4Joerg Steinmann5Institute of Clinical Hygiene, Medical Microbiology and Infectiology, Paracelsus Medical University, Prof.-Ernst-Nathan Straße 1, 90419 Nuremberg, Germany; Corresponding author.Allergologic-Immunologic Laboratory, Malteser Lung- and Allergy Center Bonn, Weberstraße 118, 53113 Bonn, GermanyClinic of Internal Medicine 3, Department of Pneumology, Paracelsus Medical University, Prof.-Ernst-Nathan Straße 1, 90419 Nuremberg, GermanyInstitute of Medical Microbiology, University Hospital Essen, University of Duisburg-Essen, Hufelandstraße 55, 45122 Essen, GermanyInstitute of Medical Microbiology, University Hospital Essen, University of Duisburg-Essen, Hufelandstraße 55, 45122 Essen, GermanyInstitute of Clinical Hygiene, Medical Microbiology and Infectiology, Paracelsus Medical University, Prof.-Ernst-Nathan Straße 1, 90419 Nuremberg, GermanyHere we present a 79-year old man with chronic hypersensitivity pneumonitis probably caused by fungal contamination of a bagpipe. Several samples were taken from the patient's bagpipe. Four potential fungal antigens (Exophiala phaeomuriformis, Kwoniella europaea, Pyrenochaeta unguis-hominis and Aureobasidium melanogenum) as potential trigger of hypersensitivity pneumonitis were identified. A serum ELISA test with Exophiala phaeomuriformis indicated reactivity.Cessation of playing the bagpipe and application of glucocorticoids lead to an improvement of the patient's symptoms. Keywords: Hypersensitivity pneumonitis, Bagpipe, Fungal antigens, Serological testinghttp://www.sciencedirect.com/science/article/pii/S2211753919300326
collection DOAJ
language English
format Article
sources DOAJ
author Katharina Ziegler
Marcus Joest
Nesrin Turan
Dirk Schmidt
Peter-Michael Rath
Joerg Steinmann
spellingShingle Katharina Ziegler
Marcus Joest
Nesrin Turan
Dirk Schmidt
Peter-Michael Rath
Joerg Steinmann
Hypersensitivity pneumonitis of a bagpipe player: Fungal antigens as trigger?
Medical Mycology Case Reports
author_facet Katharina Ziegler
Marcus Joest
Nesrin Turan
Dirk Schmidt
Peter-Michael Rath
Joerg Steinmann
author_sort Katharina Ziegler
title Hypersensitivity pneumonitis of a bagpipe player: Fungal antigens as trigger?
title_short Hypersensitivity pneumonitis of a bagpipe player: Fungal antigens as trigger?
title_full Hypersensitivity pneumonitis of a bagpipe player: Fungal antigens as trigger?
title_fullStr Hypersensitivity pneumonitis of a bagpipe player: Fungal antigens as trigger?
title_full_unstemmed Hypersensitivity pneumonitis of a bagpipe player: Fungal antigens as trigger?
title_sort hypersensitivity pneumonitis of a bagpipe player: fungal antigens as trigger?
publisher Elsevier
series Medical Mycology Case Reports
issn 2211-7539
publishDate 2019-06-01
description Here we present a 79-year old man with chronic hypersensitivity pneumonitis probably caused by fungal contamination of a bagpipe. Several samples were taken from the patient's bagpipe. Four potential fungal antigens (Exophiala phaeomuriformis, Kwoniella europaea, Pyrenochaeta unguis-hominis and Aureobasidium melanogenum) as potential trigger of hypersensitivity pneumonitis were identified. A serum ELISA test with Exophiala phaeomuriformis indicated reactivity.Cessation of playing the bagpipe and application of glucocorticoids lead to an improvement of the patient's symptoms. Keywords: Hypersensitivity pneumonitis, Bagpipe, Fungal antigens, Serological testing
url http://www.sciencedirect.com/science/article/pii/S2211753919300326
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AT marcusjoest hypersensitivitypneumonitisofabagpipeplayerfungalantigensastrigger
AT nesrinturan hypersensitivitypneumonitisofabagpipeplayerfungalantigensastrigger
AT dirkschmidt hypersensitivitypneumonitisofabagpipeplayerfungalantigensastrigger
AT petermichaelrath hypersensitivitypneumonitisofabagpipeplayerfungalantigensastrigger
AT joergsteinmann hypersensitivitypneumonitisofabagpipeplayerfungalantigensastrigger
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