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East Delhi, India – A recent case study has underscored the severe health risks associated with long-term exposure to pigeon feathers and droppings, as an 11-year-old boy was hospitalized with potentially life-threatening allergic reactions. Initially presenting with what seemed like a routine cough, the child’s condition deteriorated rapidly, leading to a diagnosis of Hypersensitivity Pneumonitis (HP) at Sir Ganga Ram Hospital.

According to Dr. Dhiren Gupta, Co-Director of the Pediatric Intensive Care Unit (PICU), the boy’s respiratory functions declined significantly due to an allergic reaction to pigeon proteins. Medical examinations revealed lung inflammation and opacities on chest radiographs, indicative of HP—a chronic interstitial lung disease that can result in scarring of lung tissue and difficulties in breathing.

“HP is notably rare in children, affecting only 2-4 individuals per one lakh population each year,” Dr. Gupta noted. The condition is typically more common among adults, emphasizing the unusual nature of this case.

Upon admission, the boy received immediate medical attention, including steroid treatment and high-flow oxygen therapy to alleviate lung inflammation. Following a positive response to treatment, he was discharged with a comprehensive care plan designed to manage his ongoing condition.

Dr. Gupta explained that HP arises from the immune system’s inflammatory response to repeated exposure to environmental substances, such as bird allergens, molds, and fungi. Alarmingly, second-hand exposure to e-cigarettes can also trigger similar inflammatory responses.

This case serves as a stark reminder of the hidden health risks associated with long-term interactions with birds, particularly pigeons. Dr. Gupta stressed the importance of recognizing early signs of HP and taking prompt action to prevent severe complications.

“Education about potential environmental triggers, like bird droppings and feathers, is essential for preventing similar incidents,” he advised. He urged caution when handling seemingly harmless birds, such as pigeons and chickens, to safeguard against potential health threats.

The findings of this case study not only highlight the risks involved but also call for greater awareness and education regarding environmental health factors in urban settings.

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