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Mushroom worker's lung
  1. Edward Jackson,
  2. K. M. A. Welch
  1. The Royal Hospital, West Street, Sheffield

    Abstract

    Two cases of an acute chest illness occurring in mushroom workers are described. In one patient, who was severely ill, a lung biopsy was obtained which showed a pattern of alveolitis and interstitial fibrosis. The serum of both patients gave a precipitin reaction to an extraction of mushroom compost after spawning, but no reaction occurred to a variety of hay antigens used in the diagnosis of farmer's lung. A provocation test undertaken in one patient demonstrated a reaction to the inhalation of a dilute extract of mushroom compost after spawning. The most severely ill patient made a full clinical and functional recovery without steroid therapy.

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