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Obliterative bronchiolitis in workers in a coffee-processing facility - Texas, 2008-2012.

Authors
Huff-S; Stocks-JM; Saito-R; Blihartz-P; Levin-J; Glazer-C; Bailey-R; Cummings-K; Kriess-K; McCague-A-B
Source
MMWR 2013 Apr; 62(16):305-307
NIOSHTIC No.
20042504
Abstract
Obliterative bronchiolitis, a rare, irreversible form of fixed obstructive lung disease, has been identified in workers exposed to flavoring chemicals while working in the microwave-popcorn and flavoring-manufacturing industries; the occupational risk to workers outside these industries is largely unknown. This report describes two cases of obliterative bronchiolitis identified in workers employed in a small coffee-processing facility. Both patients' illness was misdiagnosed before they received a diagnosis of work-related obliterative bronchiolitis, which had not been identified previously in the coffee-processing industry. These cases reinforce the need for exposure evaluation in all industries in which workers are exposed to flavoring chemicals. Additionally, a high index of suspicion is required when these potentially exposed workers have progressive shortness of breath. If obliterative bronchiolitis is suspected, immediate protection from further exposure is crucial to prevent further deterioration of lung function.
Keywords
Lung; Lung-disease; Diseases; Workers; Exposure-levels; Risk-factors; Chemical-composition; Chemical-properties; Food-additives; Coffee-workers; Humans; Men; Women; Respiration; Respiratory-irritants; Respiratory-system-disorders; Pulmonary-system; Pulmonary-system-disorders; Pulmonary-function; Pulmonary-disorders; Etiology; Spirometry
CODEN
MMWRB6
Publication Date
20130426
Document Type
Journal Article
Email Address
wja6@cdc.gov
Fiscal Year
2013
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-T01-OH-009221; B20130520
Issue of Publication
16
ISSN
0892-3787
NIOSH Division
DRDS
Source Name
Morbidity and Mortality Weekly Report
State
TX; WV; GA
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