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Journal Information
Vol. 45. Issue 8.
Pages 405-407 (August 2009)
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Vol. 45. Issue 8.
Pages 405-407 (August 2009)
Case report
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Hypersensitivity Pneumonitis Caused by Mucor Species in a Cork Worker
Neumonitis por hipersensibilidad a Mucor sp. en un trabajador de la industria del corcho
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Ana Villara, Xavier Muñoza,b,
Corresponding author
xmunoz@vhebron.net

Corresponding author.
, María Jesús Cruza,b, Ferran Morella,b
a Servei de Pneumologia, Hospital Vall d’Hebron, Departamento de Medicina, Universitat Autònoma de Barcelona, Barcelona, Spain
b CIBER de Enfermedades Respiratorias (CibeRes), Instituto de Salud Carlos III, Madrid, Spain
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Article information
Abstract

Suberosis is a type of hypersensitivity pneumonitis caused by exposure to cork proteins and molds such as Aspergillus fumigatus and Penicillium frequentans. We present the case of a man with suberosis caused by Mucor species, a mold that has been rarely reported to cause hypersensitivity pneumonitis. Furthermore, the patient had symptoms and lung function tests indicating bronchial obstruction-an atypical presentation of hypersensitivity pneumonitis. No imaging abnormalities were observed. A diagnosis was made on the basis of bronchoalveolar lavage and transbronchial biopsy findings. Mucor species was identified as the causative agent using a specific bronchial challenge test.

Keywords:
Suberosis
Hypersensitivity pneumonitis
Mucor sp
Resumen

La suberosis es un tipo de neumonitis por hipersensibilidad causada por la exposición a proteínas propias del corcho y a hongos tales como Aspergillus fumigatus y Penicillium frequentans. Presentamos el caso de un varón afectado de suberosis en quien el agente implicado fue Mucor sp., hongo hasta ahora prácticamente no descrito como causante de neumonitis por hipersensibilidad. Además, se trata de un caso con una presentación clínica atípica, que comenzó con síntomas y pruebas de función pulmonar en forma de obstrucción, y en el que no se evidenciaron alteraciones en las pruebas de imagen. El diagnóstico se obtuvo a partir de los resultados del análisis del lavado broncoalveolar y de una biopsia transbronquial. La identificación del agente responsable se realizó por medio de una prueba de provocación bronquial específica.

Palabras clave:
Suberosis
Neumonitis por hipersensibilidad
Mucor sp
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Copyright © 2009. Sociedad Española de Neumología y Cirugía Torácica
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