Hot tub HP

Category

Hypersensitivity Pneumonitis

Acute/Chronic

Chronic

Comments

Acute presentation: flu-like illness with cough;
Subacute: recurrent "pneumonia";
Chronic: exertional dyspnea, productive cough, and weight loss;
The exposure is to contaminated hot tub mist, and the suspected antigen is Mycobacterium avium complex. [Murray, p. 1784] Nontuberculous mycobacteria were detected in 72% of air or water samples from 18 public hot tubs and warm water therapy pools. [PMID 17846927] See "Hypersensitivity pneumonitis."

Latency/Incubation

Weeks to years until "sensitized"; acute symptoms 4-12 hours after exposure;

Diagnostic

Clinical; Chest x-ray; HRCT; Pulmonary function testing; BAL; Lung biopsy;

ICD-9 Code

495.8

ICD-10 Code

J67.8

Reference Link

IDdx Link

Job Tasks

High risk job tasks associated with this disease:

• Inhale bioaerosols in the home, school, or office environment

Agents

Hazardous agents that cause the occupational disease:

• Hypersensitivity pneumonitis antigens