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Acute toxic pneumonitis complicating chronic obstructive pulmonary disease (COPD) in a farmer.

Authors
Sigurdarson-ST; Donham-KJ; Kline-JN
Source
Am J Ind Med 2004 Oct; 46(4):393-395
NIOSHTIC No.
20040547
Abstract
BACKGROUND: Toxic pneumonitis or Organic Dust Toxic Syndrome (ODTS) is a common, usually self-limiting condition among agricultural workers, occurring after high level exposure to agricultural dust. CASE REPORT: We describe the case of a 68-year-old smoker and farmer who became ill with dyspnea, flu-like symptoms, and hypoxia after cleaning out a grain bin. RESULTS: Chest radiograph was normal. He was treated with steroids, antibiotics, and oxygen supplementation and recovered over 3 months, but continues with lingering exercise intolerance after 2 years. DISCUSSION: Although toxic pneumonitis usually follows a relatively benign course with spontaneous recovery and no permanent sequale it can lead to the exacerbation of underlying lung conditions, resulting in incomplete or delayed recovery. Prevention is aimed at limiting exposure by avoidance, by increasing ventilation in closed spaces and by appropriate use of personal protective equipment.
Keywords
Humans; Men; Women; Dusts; Dust-inhalation; Dust-exposure; Age-groups; Diseases; Agricultural-workers; Agriculture; Etiology; Respiratory-system-disorders; Respiration; Pulmonary-function; Pulmonary-system; Pulmonary-system-disorders; Author Keywords: oxic pneumonitis; Organic Dust Toxic Syndrome; agricultural dust; Chronic Obstructive Pulmonary Disease
Contact
Joel N. Kline, Associate Professor, C33GH UIHC, 200 Hawkins Drive, Iowa City, IA 52242
CODEN
AJIMD8
Publication Date
20041001
Document Type
Journal Article
Email Address
joel-kline@uiowa.edu
Funding Type
Grant
Fiscal Year
2005
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-T42-OH-008491
Issue of Publication
4
ISSN
0271-3586
Source Name
American Journal of Industrial Medicine
State
IA
Performing Organization
University of Iowa
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