“…The etiology of toxic pneumonitis is unknown but it has also been speculated that one causative factor could be the inhalation of fungi, bacteria, actinomycetes and endotoxins that are present in flour and saw mills (Chan-Yeung, Enarson, & Kennedy, 1992;Malmberg, Rask-Andersen, Lundholm, & Palmgren, 1990). Allergenic and toxic effects may be the health hazardous associated with exposure to Gram-negative bacteria (Olenchock, 1990), actinomycetes and fungi (Sumi, Takeuchi, Miyakawa, & Nagura, 1994). Many of the microorganisms found in grain dust are well-known respiratory sensitizers, e.g., Cladosporium, Alternaria, Aspergillus, Penicillium (Dutkiewicz, Kus, Dutkiewicz, & Warren, 1985;Dutkiewicz et al, 1989) while Enterobacter agglomerans may be a source of endotoxins (Dutkiewicz, 1978).…”