Chronic Hypersensitivity Pneumonia due to Pigeon Breeders’ D
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Case Report

A 12-year-old girl was referred to us with persistent dry cough for 3 years, progressive dyspnea for last 2 years and significant weight loss for last 1 year. She had received anti-tubercular and anti-asthma treatment without any relief. Her past and family history was insignificant, except that they were involved in breeding around 60 pigeons at home. A recent chest X-ray revealed bilateral ground glass haziness and pulmonary function tests revealed severe restriction, with reduced diffusion capacity of lung for carbon monoxide.

On examination, she was cachexic and dyspneic at rest, with tachycardia and tachypnea. Her SPO2 was 82% at room air that improved to 95% with supplemental oxygen. Respiratory system examination revealed use of accessory muscles of respiration, with pectus excavatum and fine basal crepitations. Cardiovascular system examination revealed loud P2, and normal jugular venous pressure and hepato jugular reflux. She had no hepatomegaly. She weighed 23 kgs, with a height of 144 cm and body mass index of 11.11. She was in tanner stage II of sexual maturity.....

http://www.indianpediatrics.net/jan2017/jan-55-57.htm
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