Bagassosis

Symptoms typically appear hours or weeks after exposure and often improve when away from the workplace (e.g., weekends). Bagassosis - StatPearls - NCBI - NIH

The disease is an allergic reaction to thermophilic actinomycetes (typically Thermoactinomyces vulgaris ) that grow in moldy, stored bagasse. bagassosis

It primarily affects workers in industries that use bagasse for manufacturing paper, cardboard, hardboard, insulation, or as fuel in brick-kilns. Symptoms typically appear hours or weeks after exposure

The clinical picture often mimics other respiratory conditions like miliary tuberculosis. bagassosis