Two year follow-up of a garbage collector with allergic bronchopulmonary aspergillosis (ABPA)

DC FieldValueLanguage
dc.contributor.authorAllmers, H
dc.contributor.authorHuber, H
dc.contributor.authorBaur, X
dc.date.accessioned2021-12-23T16:11:18Z-
dc.date.available2021-12-23T16:11:18Z-
dc.date.issued2000
dc.identifier.issn02713586
dc.identifier.urihttps://osnascholar.ub.uni-osnabrueck.de/handle/unios/9631-
dc.description.abstractBackground Separate collection of biodegradable garbage and recyclable waste is expected to become mandatory in some western countries, A growing number of persons engaged in garbage collection and separation might become endangered by high loads of bacteria and fungi. Case history and examination A 29 year old garbage collector involved in emptying so-called biological garbage complained of dyspnea, fever, and flu-like symptoms during work beginning in the summer of 1992. Chest x-ray showed streaky shadows near both hill reaching into the upper regions. IgE- and IgG-antibodies (CAP, Pharmacia, Sweden) were strongly positive for Aspergillus fumigatus with 90.5 kU/L and 186%, respectively Total-IgE was also strongly elevated with 5430 kU/L, Bronchial challenge testing with commercially available Aspergillus fumigatus extract resulted in an immediate-type asthmatic reaction. Two years later he was still symptomatic and antibodies persisted at lower levels. Conclusions Our diagnosis was allergic bronchopulmonary aspergillosis (ABPA) including asthmatic responses as well as hypersensitivity pneumonitis (extrinsic allergic alveolitis) due to exposure to moldy household waste. A growing number of persons engaged in garbage collection and handling are exposed and at risk to develop sensitization to fungi due to exposure to dust of biodegradable waste. Further studies are necessary to show if separate collection of biodegradable waste increases the health risks due to exposure to bacteria and fungi in comparison to waste collection without separation. Am. J. Ind. Med. 37:438-442, 2000. (C) 2000 Wiley-Liss, etc.
dc.language.isoen
dc.publisherWILEY
dc.relation.ispartofAMERICAN JOURNAL OF INDUSTRIAL MEDICINE
dc.subjectallergic bronchopulmonary aspergillosis
dc.subjectAspergillus fumigatus
dc.subjectPublic, Environmental & Occupational Health
dc.subjectwaste collection
dc.titleTwo year follow-up of a garbage collector with allergic bronchopulmonary aspergillosis (ABPA)
dc.typejournal article
dc.identifier.doi10.1002/(SICI)1097-0274(200004)37:4<438::AID-AJIM14>3.3.CO;2-1
dc.identifier.isiISI:000085629400014
dc.description.volume37
dc.description.issue4
dc.description.startpage438
dc.description.endpage442
dc.identifier.eissn10970274
dc.publisher.place111 RIVER ST, HOBOKEN 07030-5774, NJ USA
dcterms.isPartOf.abbreviationAm. J. Ind. Med.
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