6
Diagnosis
Table 1. Sources of Antigens Known to Cause HP
Matter Typical Sources HP "Disease"
Organic Particulate Matter
I. Microbes
Bacteria
Streptomyces spp. Contaminated houses Wind-instrument
alveolitis
ermoactinomyces spp. Moldy plants Indoor-air alveolitis
Endotoxin from pool-water
sprays and fountains
Contaminated wind instruments Steam-iron alveolitis
Bacillus subtilis enzymes
(subtilisin)
Moldy shower curtain Mushroom grower's
lung
Compost atched-roof disease
Edible mushroom manure Bagassosis
Contaminated soil Compost lung
Moldy thatched roofs
Protozoa
Amoebae Contaminated humidifiers and
air-conditioning systems
Humidifier lung
Nematodes
Nematodes Contaminated humidifiers and
air-conditioning systems
Humidifier lung
Mite
Acarus siro Contaminated cheese —
II. Proteins/enzymes
Animal proteins
Animal fur dust Animal pelts Furrier's lung
Avian droppings, serum, and
feathers
Parakeets, canaries, budgerigars,
pigeons, parrots, chicken,
turkeys, geese, ducks, wild birds,
pheasants
Bird fancier's disease,
bird breeder's disease,
pigeon breeder's lung,
chicken breeder's lung
Avian feathers Feather beds, pillows, duvets Feather-duvet lung
Bats Contact with bats —
Carmine (from Coccus cacti) Food and cosmetics Carmine alveolitis,
dyer's lung
Cow milk Cow milk Heiner syndrome
Fish feed Daphnia, meat, mosquito larvae Fish-feed alveolitis
Fish meal Animal feed Fish-meal alveolitis
(cont'd)
