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Occupational Medicine Advance Access originally published online on September 22, 2004
Occupational Medicine 2004 54(7):500-503; doi:10.1093/occmed/kqh092
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Occupational Medicine Vol. 54 No. 7 © Society of Occupational Medicine 2004; all rights reserved

Case Report

Pheasant rearer’s lung

S. J. Partridge1, J. C. T. Pepperell1, C. Forrester-Wood2, N. B. N. Ibrahim3, A. Raynal4 and C. R. Swinburn1

1 Department of Medicine, Taunton and Somerset NHS Trust, Musgrove Park Hospital, Taunton, Somerset TA1 5DA, UK.
2 Department of Thoracic Surgery, United Bristol Healthcare Trust, Bristol Royal Infirmary, Bristol BS2 8HW, UK.
3 Department of Histopathology, North Bristol NHS Trust, Frenchay Hospital, Bristol BS16 1LE, UK.
4 Health & Safety Executive, Intercity House, Bristol BS16 1LE, UK.

A 47-year-old gamekeeper presented with an 8 month history of variable breathlessness, cough and clinical features of severe interstitial lung disease. Open lung biopsy showed an extrinsic allergic alveolitis, which we believe related to his work rearing pheasants. Initially he was resistant, despite advice, to changing his occupation but subsequently, although ceasing exposure to pheasants and beginning treatment with corticosteroids, his disease progressed to the point where he developed respiratory failure and was referred for lung transplantation. Sadly, he died of progressive respiratory failure and cor pulmonale complicated by bronchopneumonia before this could be achieved.

Keywords      Extrinsic allergic alveolitis; occupational lung disease; pheasants

Received        8 September 2003
Revised         23 May 2004
Accepted        2 June 2004

Correspondence to: Dr C. R. Swinburn, Musgrove Park Hospital, Taunton, Somerset TA1 5DA, UK. Tel: +44 1823 342146; fax: +44 1823 343709; e-mail: chris.swinburn{at}tst.nhs.uk


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