Bagassosis -

While once common in the southern United States (especially Louisiana) and Puerto Rico, modern industrial organization has made it rare. Today, cases are more frequently reported in countries with large, unorganized sugarcane sectors, such as India. Clinical Features

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

Rapid onset of breathlessness (dyspnea), cough, fever, chills, weakness, and weight loss. Chest pain and hemoptysis (coughing up blood) may also occur. While once common in the southern United States

The clinical picture often mimics other respiratory conditions like miliary tuberculosis. unorganized sugarcane sectors