silo-filler disease

silo-filler disease

Silo-filler's lung Occupational medicine A toxic gas-induced pneumonitis and bronchiolitis caused by inhalation of nitrogen oxides in freshly filled grain silos, often coupled to asphyxia Clinical Cough, light headedness, dyspnea, cyanosis, hemoptysis, choking Forms of presentation 1. Collapse and sudden death; 2. Acute alveolar damage with pulmonary edema; 3. Early reversible bronchiolitis obliterans and 4. Late irreversible bronchiolitis obliterans DiffDx Mycotoxicosis, an allergic reaction Treatment High dose corticosteroids may prevent the bronchiolitis obliterans common in the heavily exposed survivors. See 'Animal House' fever, Farmer's lung.