Question Number 1157 Question: A 60yr old farmer presents with a chronic cough and progressive dyspnea for the last 6yrs. The chest x-ray revealed a reticulonodular infiltrate associated with honey-combing of the lung. Pulmonary function studies show a restrictive pattern with loss of lung volumes, impaired diffusion capacity, decreased compliance, and an exercise-induced hypoxemia. Serum studies demonstrate precipitating antibodies against extracts of moldy hay. The causative organism in this case is likely to be: a) Aspergillus |
Labels: MEDICINE, Pulmonology