Suspected hypersensitivity pneumonitis after exposure to a biologic forage inoculant
Mannino, D.; Geiss, R.; Hodous, T.; Lapp, N.L.
Southern Medical Journal 89(9): 898-901
1996
ISSN/ISBN: 0038-4348 PMID: 8790315 Document Number: 468901
A 44-year-old farmer had respiratory symptoms and bibasilar pulmonary infiltrates after three exposures to a new biologic forage inoculant. Open lung biopsy revealed chronic interstitial pneumonitis and bronchiolitis obliterans with organizing pneumonia. The patient responded to oral corticosteroids but acutely worsened after an inadvertent reexposure to the forage inoculant. He later recovered, with return of lung function and chest radiograph toward normal. This case suggests that biologic forage inoculants may be associated with hypersensitivity pneumonitis.