Comments
Acute presentation: flu-like illness with cough;
Subacute: recurrent "pneumonia";
Chronic: exertional dyspnea, productive cough, and weight loss;
The exposure is to moldy mushroom compost, and the suspected antigen is to the thermophilic bacteria, T. sacchari. [Harber, p. 202] See "Hypersensitivity pneumonitis."