Exposure to Mold and Remediation Chemicals Leads to Reduced Lung Capacity

Case Overview

This case study involves an adult individual with a significant medical history of asthma. The individual was residing in a rented condominium where mold was discovered. A mold remediation company was contracted to remove the mold using Prokure, a common chemical used in such processes.

During the course of treatment, the patient sought emergency care due to exposure to both mold and the remediation chemicals. Subsequently, they consulted a pulmonologist. Pulmonary Function Tests (PFT) conducted by this specialist revealed a 42% reduction in lung capacity.

Despite these health challenges, the patient was not hospitalized and continues to maintain their employment. The case necessitates a review by a board-certified pulmonologist who may also need to perform an Independent Medical Examination (IME).

Questions to the Pulmonology expert and their responses

As a pulmonologist, how often do you treat patients exposed to mold?

In my practice as a board-certified pulmonologist and interventional pulmonologist, I regularly encounter patients with various lung diseases, including those related to mold exposure.

What could be some possible causes for an apparent reduction in lung capacity in an adult with a history of asthma who reports exposure to mold and mold remediation chemicals?

There are numerous potential etiologies leading to reduced lung capacity in such cases. It's crucial to thoroughly review the patient's asthma history since many individuals are labeled asthmatic without a comprehensive workup.

Therefore, it would require an extensive examination of their medical records and pulmonology records over several years.

Have you ever reviewed a similar case before?

Yes, I have encountered similar presentations quite frequently at the general pulmonary clinic where I practice. I am comfortable managing such cases.

About the expert

This expert is a seasoned professional in the field of pulmonology, with board certifications in internal medicine and pulmonary disease. They have completed an extensive educational journey, including a BA from a renowned university, an MD from a prestigious school of medicine, followed by an internship and residency in internal medicine at a top-tier college of medicine, and a fellowship in pulmonary and critical care at a leading university. Currently serving as an assistant professor at a university and a physician at a VA hospital, they are also an active member of several professional societies such as the Society of Critical Care Medicine, the American Thoracic Society, and the American Association of Bronchology and Interventional Pulmonology.