Hypersensitivity pneumonitis of a bagpipe player: Fungal antigens as trigger?
Katharina Ziegler, Marcus Joest, Nesrin Turan and 3 more
Medical Mycology Case Reports · 2019
doi:10.1016/j.mmcr.2019.03.005 (opens in a new tab)
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Abstract
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
Abstract licence: CC BY-NC-ND
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