Hypersensitivity Pneumonia Due to Lentil Aspiration: A Rare but Painstaking Pulmonary Illness
A 7-month-old girl had been suffering from progressively deteriorating pneumonia despite getting multiple courses of broad-spectrum antibiotics as well as anti-fungal drugs for adequate duration. To find out the cause behind this deterioration, the patient underwent thorough clinical and relevant la...
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| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2024-12-01
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| Series: | Global Pediatric Health |
| Online Access: | https://doi.org/10.1177/2333794X241304580 |
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| author | Md. Abid Hossain Mollah FCPS Jebun Nahar MD Priya Purakayostho MBBS Nabila Tabassum MRCPCH Tasnima Ahmed FCPS Sherin Khan FCPS Sabrina Jashim FCPS Mohammod Jobayer Chisti PhD |
| author_facet | Md. Abid Hossain Mollah FCPS Jebun Nahar MD Priya Purakayostho MBBS Nabila Tabassum MRCPCH Tasnima Ahmed FCPS Sherin Khan FCPS Sabrina Jashim FCPS Mohammod Jobayer Chisti PhD |
| author_sort | Md. Abid Hossain Mollah FCPS |
| collection | DOAJ |
| description | A 7-month-old girl had been suffering from progressively deteriorating pneumonia despite getting multiple courses of broad-spectrum antibiotics as well as anti-fungal drugs for adequate duration. To find out the cause behind this deterioration, the patient underwent thorough clinical and relevant laboratory evaluation including chest radiology & imaging, screening for primary immune deficiency disorders (PID), cystic fibrosis, tuberculosis, invasive fungal pneumonia, congenital heart disease, covid pneumonia, TORCH etc. but failed to solve the mystery. Upon further detailed re-evaluation, it was discovered that the child had a history of being forcefully fed lentil-based khichuri (a rice-lentil mixed dish) during her weaning process and diagnosis was finally confirmed as hypersensitive pneumonia due to lentil aspiration by a high level of IgG, specific to lentil antigen. Treatment was commenced with prednisolone resulting in significant improvement in her clinical and radiological condition within 72 hours. |
| format | Article |
| id | doaj-art-31d6fca9ecdf43ceab4873bed78d1b3e |
| institution | OA Journals |
| issn | 2333-794X |
| language | English |
| publishDate | 2024-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Global Pediatric Health |
| spelling | doaj-art-31d6fca9ecdf43ceab4873bed78d1b3e2025-08-20T01:59:27ZengSAGE PublishingGlobal Pediatric Health2333-794X2024-12-011110.1177/2333794X241304580Hypersensitivity Pneumonia Due to Lentil Aspiration: A Rare but Painstaking Pulmonary IllnessMd. Abid Hossain Mollah FCPS0Jebun Nahar MD1Priya Purakayostho MBBS2Nabila Tabassum MRCPCH3Tasnima Ahmed FCPS4Sherin Khan FCPS5Sabrina Jashim FCPS6Mohammod Jobayer Chisti PhD7BIRDEM General Hospital (Mother and Children Wing), Dhaka, BangladeshBIRDEM General Hospital (Mother and Children Wing), Dhaka, BangladeshBIRDEM General Hospital (Mother and Children Wing), Dhaka, BangladeshNottingham University Hospital, Nottingham, UKBIRDEM General Hospital (Mother and Children Wing), Dhaka, BangladeshBIRDEM General Hospital (Mother and Children Wing), Dhaka, BangladeshBIRDEM General Hospital (Mother and Children Wing), Dhaka, BangladeshInternational Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, BangladeshA 7-month-old girl had been suffering from progressively deteriorating pneumonia despite getting multiple courses of broad-spectrum antibiotics as well as anti-fungal drugs for adequate duration. To find out the cause behind this deterioration, the patient underwent thorough clinical and relevant laboratory evaluation including chest radiology & imaging, screening for primary immune deficiency disorders (PID), cystic fibrosis, tuberculosis, invasive fungal pneumonia, congenital heart disease, covid pneumonia, TORCH etc. but failed to solve the mystery. Upon further detailed re-evaluation, it was discovered that the child had a history of being forcefully fed lentil-based khichuri (a rice-lentil mixed dish) during her weaning process and diagnosis was finally confirmed as hypersensitive pneumonia due to lentil aspiration by a high level of IgG, specific to lentil antigen. Treatment was commenced with prednisolone resulting in significant improvement in her clinical and radiological condition within 72 hours.https://doi.org/10.1177/2333794X241304580 |
| spellingShingle | Md. Abid Hossain Mollah FCPS Jebun Nahar MD Priya Purakayostho MBBS Nabila Tabassum MRCPCH Tasnima Ahmed FCPS Sherin Khan FCPS Sabrina Jashim FCPS Mohammod Jobayer Chisti PhD Hypersensitivity Pneumonia Due to Lentil Aspiration: A Rare but Painstaking Pulmonary Illness Global Pediatric Health |
| title | Hypersensitivity Pneumonia Due to Lentil Aspiration: A Rare but Painstaking Pulmonary Illness |
| title_full | Hypersensitivity Pneumonia Due to Lentil Aspiration: A Rare but Painstaking Pulmonary Illness |
| title_fullStr | Hypersensitivity Pneumonia Due to Lentil Aspiration: A Rare but Painstaking Pulmonary Illness |
| title_full_unstemmed | Hypersensitivity Pneumonia Due to Lentil Aspiration: A Rare but Painstaking Pulmonary Illness |
| title_short | Hypersensitivity Pneumonia Due to Lentil Aspiration: A Rare but Painstaking Pulmonary Illness |
| title_sort | hypersensitivity pneumonia due to lentil aspiration a rare but painstaking pulmonary illness |
| url | https://doi.org/10.1177/2333794X241304580 |
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