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During his stay in the hospital, doctors examined his bagpipes and took samples from the bag, neck and chanter reed protector. The samples grew several kinds of fungi, which research has linked to the development of hypersensitivity pneumonitis. Postmortem examination revealed extensive lung damage with acute respiratory distress syndrome and tissue scarring, which are associated with chronic hypersensitivity pneumonitis. It really highlights the hobby interests in this case, said Dr. Jenny King, a specialist trainee in respiratory medicine at the University Hospital of South Manchester and the lead author of the case study. Since the symptoms are treatable and reversible if caught earlier, its important for doctors to ask thorough questions about patients histories and hobbies, said King. Musicians, beware The moist interiors in wind instruments foster the growth of yeast and mold, the study suggests. Two previous cases showed the lung condition developing through fungal exposure in a saxophone and trombone. In those cases, the players began to clean their instruments with disinfectants and their symptoms improved. King calls playing wind instruments a risk factor for hypersensitivity pneumonitis development, and stresses the importance of thorough and regular cleaning to minimize or eradicate molds and fungi.
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