title: [A case of silo-fillers' disease].
abstract: A 52 year-old male farmer was admitted to our hospital because of cough, sputum and dyspnea on exertion. Chest X-ray showed pulmonary edema and arterial blood gas analysis showed hypoxemia. Silo-fillers' disease was diagnosed because he had allegedly inhaled yellowish gas in the silo. The day following steroid therapy, symptoms and pulmonary edema improved. Silo-fillers' disease is chemical pneumonitis due to exposure to the oxides of nitrogen which are produced in silos. Although reported cases of silo-fillers' disease in Japan are rare it should be kept in mind in areas involved with dairy farming.
authors.forename: K
authors.initials: K
authors.lastname: Shiramine
authors.forename: T
authors.initials: T
authors.lastname: Terai
authors.forename: T
authors.initials: T
authors.lastname: Yoshikawa
authors.forename: T
authors.initials: T
authors.lastname: Nagai
authors.forename: H
authors.initials: H
authors.lastname: Ohmiya
authors.forename: O
authors.initials: O
authors.lastname: Ishimaru
mesh_terms: D006801:Humans; D008171:Lung Diseases / Q000188:drug therapy / Q000209:etiology; D008297:Male; D008775:Methylprednisolone / Q000627:therapeutic use; D008875:Middle Aged; D009585:Nitrogen Dioxide / Q000506:poisoning; D011239:Prednisolone / Q000627:therapeutic use; D012832:Silo Filler's Disease / Q000188:drug therapy / Q000209:etiology
chemical_list: D011239:Prednisolone; D009585:Nitrogen Dioxide; D008775:Methylprednisolone