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Hypersensitivity Pneumonitis Due to Contaminated Water in a Home Sauna

W. James Metzger, MD; Roy Patterson, MD; Jordan Fink, MD; Ronald Semerdjian, MD; Mary Roberts

JAMA. 1976;236(19):2209-2211.

Abstract
Daily saunas taken by a young man were followed by fever, chills, malaise, dyspnea, cough, and myalgia from six to eight hours later. Symptoms, which were related to pouring water from a sauna bucket over the heating element, progressed to chronic dyspnea and fatigue. Serial serum samples showed precipitin reactions to bucket water and extracts of bucket mold. IgG antibody activity, demonstrated by radioimmunoassay, suggested that Pullularia was a major antigen.

(JAMA 236:2209-2211, 1976)

Author Affiliations
From the Department of Medicine, Northwestern University Medical School, Chicago (Drs Metzger and Patterson and Ms Roberts); and the Department of Medicine, Medical College of Wisconsin, Milwaukee (Drs Fink and Semerdjian).

Footnotes
Reprint requests to Department of Medicine, Northwestern University Medical School, Ward Memorial Building, 303 E Chicago Ave, Chicago, IL 60611 (Dr Patterson).

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