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KMID : 0383820100680040236
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Tuberculosis and Respiratory Diseases
2010 Volume.68 No. 4 p.236 ~ p.239
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A Case of Hot Tub Lung
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Kim Min
Cha Seung-Ick
Shin Kyung-Min
Yun Kil-Suk
Bae Jung-Hyun
Yoon Won-Kyung
Lee Shin-Yeop
Kim Chang-Ho
Park Jae-Yong
Jung Tae-Hoon
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Abstract
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Hot tub lung is a lung disorder associated with exposure to hot tub water contaminated with Mycobacterium avium complex (MAC). Although its pathogenesis remains unclear, it may be considered hypersensitivity pneumonitis (HP) rather than an infectious disease. We report a case which fulfilled the current diagnostic criteria of hot tub lung. A patient had worked as a cleaner in the public bath for approximately one year and presented with dyspnea for over one month. The computed tomographic finding of bilateral ground glass attenuation and pathologic finding of granulomatous inflammation were consistent with HP. MAC was isolated from bronchoalveolar lavage fluid and hot tub water. After corticosteroid treatment without antimycobacterial medication, the patient improved and there has been no recurrence. The patient has since discontinued working in the public bath.
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KEYWORD
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Hypersensitivity pneumonitis, Mycobacterium avium Complex, Hot Tub Lung
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