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Recurrent Cough, Fever, and Leukocytosis After Hot Tub Exposure

Othman, Hussein MD*; Fishbain, Joel MD*†; Briski, Laurence MD; Hadesman, Steven MD*; Saravolatz, Louis MD*†

Infectious Diseases in Clinical Practice: November 2012 - Volume 20 - Issue 6 - p 425–427
doi: 10.1097/IPC.0b013e318255d5a2
Case Reports

Hot tub lung is an unusual disease process that can be difficult to recognize and is easily missed. Additional exposure history and invasive investigations provide sufficient information for diagnosis. Mycobacterium avium complex is the most commonly reported pathogen when one has been identified. Herein, we report a rare case of hot tub lung due to Mycobacterium fortuitum that was microbiologically confirmed in the patient and the environment.

From the *Department of Medicine, St John Hospital and Medical Center; †School of Medicine, Wayne State University Detroit; and ‡Department of Pathology, St John Hospital and Medical Center, Detroit, MI.

Correspondence to: Joel Fishbain, MD, Suite 333, 19251 Mack Ave, Grosse Pointe Woods, MI 48236. E-mail:

The authors have no funding or conflicts of interest to disclose.

© 2012 Lippincott Williams & Wilkins, Inc.