Identification of Thermobifida fusca as a main causative agent of mushroom compost worker's lung - case series

Barbara Mackiewicz1, Angelina Wójcik-Fatla2, Jacek Dutkiewicz2

  • 1Department of Pneumonology, Oncology and Allergology, Medical University, Lublin, Poland.

Abstract

Insights

Mushroom compost worker's lung (MCWL) is linked to thermophilic actinobacteria. Thermobifida fusca was identified as a major cause of hypersensitivity pneumonitis (HP) in affected workers, guiding future diagnosis.

Area of Science:

  • Environmental Medicine
  • Occupational Health
  • Microbiology

Background:

  • Mushroom compost worker's lung (MCWL) is a form of hypersensitivity pneumonitis (HP).
  • It affects workers preparing compost for white button mushroom cultivation.
  • Identifying causative agents is crucial for worker health.

Purpose of the Study:

  • To identify thermophilic actinobacteria strains potentially causing MCWL.
  • To investigate the role of specific bacterial species in worker symptoms.

Main Methods:

  • Clinical evaluations including HRCT, bronchoscopy, and pulmonary function tests.
  • Microscopic, culture, and genetic identification of thermophilic actinobacteria.
  • Allergological tests: agar gel precipitation and inhalation challenges.

Main Results:

  • 20 patients diagnosed with acute HP, subacute HP, or Organic Dust Toxic Syndrome (ODTS).
  • Thermobifida fusca and Laceyella sacchari isolated from compost.
  • Th. fusca showed strong precipitin reactions and positive inhalation responses in workers.

Conclusions:

  • Thermobifida fusca is identified as a primary causative agent of MCWL.
  • This finding is significant for diagnosing HP in mushroom compost facility workers.

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