title: Hypersensitivity pneumonitis caused by Mycobacterium avium subsp. hominissuis in a hot tub, as proven by IS1245 RFLP and rep-PCR typing.
abstract: A symptomatic patient had repeatedly positive cultures of Mycobacterium avium subsp. hominissuis after exposure to a hot tub contaminated with M. avium subsp. hominissuis. The pulmonary and tub water isolates were indistinguishable by IS1245 RFLP as well as rep-PCR typing. Discontinued use of the hot tub resulted in culture conversion.
authors.affiliation: National Mycobacteria Reference Laboratory, Laboratories for Infectious Diseases and Perinatal Screening, National Institute for Public Health and the Environment, Bilthoven, The Netherlands. Electronic address: riannezanden@gmail.com.
authors.forename: Rianne J C
authors.initials: RJ
authors.lastname: van der Zanden
authors.affiliation: Department of Pulmonary Diseases, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands; University Lung Centre Dekkerswald, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands.
authors.forename: Cecile
authors.initials: C
authors.lastname: Magis-Escurra
authors.affiliation: Beatrixoord, Tuberculosis Center, University Medical Center Groningen, Haren, The Netherlands.
authors.forename: Wiel C M
authors.initials: WC
authors.lastname: de Lange
authors.affiliation: Department of Pulmonary Diseases, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands.
authors.forename: Wouter
authors.initials: W
authors.lastname: Hoefsloot
authors.affiliation: Department of Pulmonary Diseases, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands; University Lung Centre Dekkerswald, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands.
authors.forename: Martin J
authors.initials: MJ
authors.lastname: Boeree
authors.affiliation: Department of Clinical Microbiology, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands.
authors.forename: Jakko
authors.initials: J
authors.lastname: van Ingen
authors.affiliation: National Mycobacteria Reference Laboratory, Laboratories for Infectious Diseases and Perinatal Screening, National Institute for Public Health and the Environment, Bilthoven, The Netherlands; Department of Pulmonary Diseases, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands; Department of Clinical Microbiology, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands.
authors.forename: Dick
authors.initials: D
authors.lastname: van Soolingen
keywords: Hot tub lung; Hypersensitivity pneumonitis; IS1245 RFLP; M. avium subsp. hominissuis; rep-PCR