Öz
Günümüzde ev tipi iklimlendirme cihazları yaygın olarak kullanılmaya başlanmıştır. Gerek şehirleşme ve apartman hayatının getirdiği iklimlendirme ihtiyacı, gerek sağlıklı yaşam konusunda artan talepler bu konuda arayışları artırmaktadır. Aromaterapi gibi tamamlayıcı tıp yaklaşımları da rağbet görmekte ve aromaterapi için irili ufaklı nemlendirici cihazlar evlerde yer bulmaktadır. Ancak hayatımıza giren birçok yeni teknoloji gibi bu cihazların da kullanımında yapılan hatalar sağlığı tehdit edebilecek sonuçlar doğurabilir. Klimalarda solunum sistemi hastalıklarına kaynaklık edebilecek etkenler daha iyi tanımlanmış ve filtre sistemleri geliştirilmiş olmakla birlikte daha küçük ve basit mekanizmalara sahip ev tipi difüzör, nebülizör, ultrasonik nemlendirici cihazların temizlik ve bakımı kolaylıkla gözden kaçabilmektedir.
İlk olarak endüstriel mekanlarda bir meslek hastalığı olarak tanımlanan “Humidifier fever” ve “humidifier lung” az bilinen bir hipersensitivite tablosu olarak karşımıza çıkmaktadır. Bu yazıda üç olgu üzerinden nemlendirici ateşi ve ilgili klinik tabloları gözden geçirdik. Bu raporumuzun amacı hekimlerin nedeni bilinmeyen ateş ve solunum hipersensitivitesi ile seyreden olgularda ayırıcı tanıda dikkate almaları gereken bir nedeni vurgulamak ve yanısıra hava nemlendirici cihazların uygun kullanımına dair de farkındalık oluşturmaktır.
Anahtar Kelimeler
Nemlendirici Cihazlar Sebebi Bilinmeyen Ateş Ekstrinsik Alerjik Alveolit Nemlendirici Ateşi
Kaynakça
- 1. McSHARRY C, ANDERSON K, BOYD G. Serological and clinical investigation of humidifier fever. Clin Exp Allergy. 1987;17(1):15–22.
- 2. Kateman E, Heederik D, Pal TM, et al. Relationship of airborne microorganisms with the lung function and leucocyte levels of workers with a history of humidifier fever. Scand J Work Environ Health. 1990;16:428-33.
- 3. Edwards JH. Microbial and immunological investigations and remedial action after an outbreak of humidifier fever. Br J Ind Med. 1980;37(1):55–62.
- 4. Koschel D, Stark W, Karmann F, Sennekamp J, Müller-Wening D. Extrinsic allergic alveolitis caused by misting fountains. Respir Med. 2005;99(8).
- 5. Humidifier fever: A disease to look out for. Br Med J. 1978;1(6121):1164.
- 6. RYLANDER R, HAGLIND P, LUNDHOLM M, MATTSBY I, STENQVIST K. Humidifier fever and endotoxin exposure. Clin Exp Allergy. 1978;8(5):511–6.
- 7. Anderson K, McSharry CP, Clark C, Clark CJ, Barclay GR, Morris GP. Sump bay fever: Inhalational fever associated with a biologically contaminated water aerosol. Occup Environ Med. 1996;53(2):106–11.
- 8. Pal TM, De Monchy JG, Groothoff R, Post D. Follow-up investigation of workers in synthetic fibre plants with humidifier disease and work related asthma. Pneumologie. 1999;53(9):403–10.
- 9. FINNEGAN MJ, PICKERING CAC, DAVIES PS, AUSTWICK PKC, WARHURST DC. Amoebae and humidifier fever. Clin Exp Allergy. 1987;17(3):235–42.
- 10. EDWARDS JH, COCKCROFT A. Inhalation challenge in humidifier fever. Clin Exp Allergy. 1981;11(3):227–35.
- 11. Fink, J. N. (1998). Humidifier Fever, Contaminated HVAC and Hypersensitivity Pneumonitis. Indoor Air, 8(S4), 56–58. https://doi.org/10.1111/j.1600-0668.1998.tb00009.x
- 12. Apostolakos, M. J., Rossmoore, H., & Beckett, W. S. (2001). Hypersensitivity pneumonitis from ordinary residential exposures. Environmental Health Perspectives, 109(9), 979–981. https://doi.org/10.1289/ehp.01109979
- 13. Sakamoto S, Furukawa M, Shimizu H, Sekiya M, Miyoshi S, Nakamura Y, et al. Clinical and radiological characteristics of ultrasonic humidifier lung and summer-type hypersensitivity pneumonitis. Respir Med 2020;174:106196. Available from: https://doi.org/10.1016/j.rmed.2020.106196
- 14. Epa U, Environments Division I. Indoor Air Facts No. 8 Use and Care of Home Humidifiers. 1991 [cited 2021 Jan 28]. Available from: www.cpsc.gov
Öz
Today, household air conditioners have started to be used widely. Both the need for air conditioning brought about by urbanization and apartment life, and the increasing demands on healthy living increase the search for this issue. Complementary medicine approaches such as aromatherapy are also popular, and humidifying devices of various sizes are found in homes for aromatherapy. However, like many new technologies that have entered our lives, mistakes made in the use of these devices can cause health-threatening consequences. Although the factors that may be the source of respiratory system diseases in air conditioners are better defined and filter systems have been developed, cleaning and maintenance of household diffusers, nebulizers, ultrasonic humidifiers with smaller and simpler mechanisms can easily be overlooked.
“Humidifier fever” and “humidifier lung”, which are defined as occupational diseases in industrial places, appear as a lesser known hypersensitivity manifestations. In this article, we reviewed humidifying fever and related clinical disorders over three cases. The purpose of this report is to emphasize a reason that physicians should consider in the differential diagnosis of cases with fever and respiratory hypersensitivity of unknown cause, and to raise awareness about the appropriate use of air humidifiers.
Anahtar Kelimeler
Humidifiers Fever of Unknown Origin Extrinsic Allergic Alveolitis Humidifier Fever
Kaynakça
- 1. McSHARRY C, ANDERSON K, BOYD G. Serological and clinical investigation of humidifier fever. Clin Exp Allergy. 1987;17(1):15–22.
- 2. Kateman E, Heederik D, Pal TM, et al. Relationship of airborne microorganisms with the lung function and leucocyte levels of workers with a history of humidifier fever. Scand J Work Environ Health. 1990;16:428-33.
- 3. Edwards JH. Microbial and immunological investigations and remedial action after an outbreak of humidifier fever. Br J Ind Med. 1980;37(1):55–62.
- 4. Koschel D, Stark W, Karmann F, Sennekamp J, Müller-Wening D. Extrinsic allergic alveolitis caused by misting fountains. Respir Med. 2005;99(8).
- 5. Humidifier fever: A disease to look out for. Br Med J. 1978;1(6121):1164.
- 6. RYLANDER R, HAGLIND P, LUNDHOLM M, MATTSBY I, STENQVIST K. Humidifier fever and endotoxin exposure. Clin Exp Allergy. 1978;8(5):511–6.
- 7. Anderson K, McSharry CP, Clark C, Clark CJ, Barclay GR, Morris GP. Sump bay fever: Inhalational fever associated with a biologically contaminated water aerosol. Occup Environ Med. 1996;53(2):106–11.
- 8. Pal TM, De Monchy JG, Groothoff R, Post D. Follow-up investigation of workers in synthetic fibre plants with humidifier disease and work related asthma. Pneumologie. 1999;53(9):403–10.
- 9. FINNEGAN MJ, PICKERING CAC, DAVIES PS, AUSTWICK PKC, WARHURST DC. Amoebae and humidifier fever. Clin Exp Allergy. 1987;17(3):235–42.
- 10. EDWARDS JH, COCKCROFT A. Inhalation challenge in humidifier fever. Clin Exp Allergy. 1981;11(3):227–35.
- 11. Fink, J. N. (1998). Humidifier Fever, Contaminated HVAC and Hypersensitivity Pneumonitis. Indoor Air, 8(S4), 56–58. https://doi.org/10.1111/j.1600-0668.1998.tb00009.x
- 12. Apostolakos, M. J., Rossmoore, H., & Beckett, W. S. (2001). Hypersensitivity pneumonitis from ordinary residential exposures. Environmental Health Perspectives, 109(9), 979–981. https://doi.org/10.1289/ehp.01109979
- 13. Sakamoto S, Furukawa M, Shimizu H, Sekiya M, Miyoshi S, Nakamura Y, et al. Clinical and radiological characteristics of ultrasonic humidifier lung and summer-type hypersensitivity pneumonitis. Respir Med 2020;174:106196. Available from: https://doi.org/10.1016/j.rmed.2020.106196
- 14. Epa U, Environments Division I. Indoor Air Facts No. 8 Use and Care of Home Humidifiers. 1991 [cited 2021 Jan 28]. Available from: www.cpsc.gov
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Olgu sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 13 Şubat 2023 |
| Yayımlandığı Sayı | Yıl 2022 Cilt: 1 Sayı: 2 |
Balkan Sağlık Bilimleri Dergisi Creative Commons Atıf-GayriTicari 4.0 Uluslararası Lisansı ile lisanslanmıştır.