Acute Pulmonary Edema in a Storehouse of Moldy Oranges: A Severe Case of the Organic Dust Toxic Syndrome

A woman who was 41 y of age developed pulmonary edema after massive fungal inhalation at an orange storehouse. A provocation test by exposure in the work-place was positive. Neither immunological studies with fungi isolated nor other clinical and histological examinations showed any evidence of hypersensitivity pneumonitis. This is the first report of a subject with organic dust toxic syndrome who developed pulmonary edema associated with the handling of moldy oranges.