Allergic bronchopulmonary aspergillosis in compost workers

Refuse collectors, recyclers and composters have an increased risk of occupational asthma and alveolitis. There a few reports of occupational allergic bronchopulmonary aspergillosis. The attached paper reports 2 cases, other reports are attached

References

	Poole CJM, Wong M, Allergic bronchopulmonary aspergillosis in garden waste (compost) collectors—occupational implications, Occup Med, 2013;63:517-519,

	SEATON A, SEATON RA, WIGHTMAN AJA, Management of allergic bronchopulmonary aspergillosis without maintenance oral corticosteroids: a fifteen-year follow-up , Q J Med, 1994;87:529-537,

	Kurosawa M, Kobayashi S, Yanagihara Y, Shida T, a case of occupational allergic bronchopulmonary aspergillosis unique to Japan, BJCP, 1990;44:482-489,

	Zuk JA, King D, Zakhour HD, Delaney JC, Local invasive pulmonary aspergillosis occuring in a gardener: an occupational hazard?, Thorax, 1989;44:678-679,

	Halwig JM, Rurup VP, Greenberger PA, Patterson R, A familial occurrence of allergic bronchopulmonary aspergillosis: a probable environmental source, J Allergy Clin Immunol, 1985;76:55-59,

	Khan ZU, Sandhu RS, Randhawa HS, Parkash D, Allergic bronchopulmonary aspergillosis in a cane sugar mill, Scand J Respir Dis, 1977;58:129-133,

Comments

This is no surprise, though I would disagree with the comment below that implies it can't be managed satisfactorily. See Seaton A et al Quart J Med 1994;87:529-37. As for understanding the reasons A fumigatus behaves like this, see Seaton A and Robertson M, Lancet 1989;i:893-4. Old they may be but still valid!

11/1/2013