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

Details

• Personal Author:
  Donham KJ ; Kline JN ; Sigurdarson ST
• Description:
  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. [Description provided by NIOSH]
• Subjects:
  Aging Agriculture Dust Lung Men Occupational Health Respiratory System Respiratory Tract Diseases Safety Women
• Keywords:
  Age-groups Agricultural-workers Agricultural Dust Author Keywords: Oxic Pneumonitis Chronic Obstructive Pulmonary Disease Diseases Dust-exposure Dust-inhalation Dusts Etiology Humans Organic Dust Toxic Syndrome Pulmonary-function Pulmonary-system Pulmonary-system-disorders Respiration Respiratory-system-disorders

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• ISSN:
  0271-3586
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Iowa ; OSHA Region 7
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  393-395
• Volume:
  46
• Issue:
  4
• NIOSHTIC Number:
  nn:20040547
• Citation:
  Am J Ind Med 2004 Oct; 46(4):393-395
• Contact Point Address:
  Joel N. Kline, Associate Professor, C33GH UIHC, 200 Hawkins Drive, Iowa City, IA 52242
• Email:
  joel-kline@uiowa.edu
• Federal Fiscal Year:
  2005
• Performing Organization:
  University of Iowa
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  American Journal of Industrial Medicine
• End Date:
  20290630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:02004db9000408072d7305577c2eb143823921884407bdb68b03f21885b031d5a82111e1f6b6cb5922512785416672e9fa0868bd9127e0f3a626233806c036f0
• Download URL:
  https://stacks.cdc.gov/view/cdc/193359/cdc_193359_DS1.pdf
• File Type:
  [PDF - 51.44 KB ]