The Drug-Induced Respiratory Disease Website and App

Marijuana, cannabis (haschish, hash, bang, dab)

Frequency - Incidence

Incidence of respiratory adverse event(s) due to the specific drug as assessed by number of reported/published cases in the literature. Red digits in stars indicate: 0 = Very rare, questionable signal · 1 = < 10 cases · 2 = 10-50 cases · 3 = 50–100 cases · 4 = 100-200 cases · 5 = >200 cases

Evidence level/grade

Evidence level for respiratory adverse event(s) due to the specific drug as estimated using Hill’s (1965), Naranjo’s (1981), and Bégaud’s (1985) criteria applied to published cases. Blue digits in stars indicate: 0 = Questionable · 1 = Low · 2 = Moderate · 3 = Robust · 4 = Definite · 5 = Unquestionable, pathognomonic

XVII.c

Aspergillosis, pulmonary (invasive, allergic [ABPA], or mycetoma)

Publications

Gargani Y, Bishop P, Denning DW

Too many mouldy joints - marijuana and chronic pulmonary aspergillosis.

Mediterranean journal of hematology and infectious diseases 2011;3;e2011005 — 2011 — e2011005

Cescon DW, Page AV, Richardson S, Moore MJ, Boerner S, Gold WL

Invasive pulmonary aspergillosis associated with marijuana use in a man with colorectal cancer.

Journal of clinical oncology : official journal of the American Society of Clinical Oncology 2008 May 01;26;2214-5 — 2008 May 01 — 2214-5

Szyper-Kravitz M, Lang R, Manor Y, Lahav M

Early invasive pulmonary aspergillosis in a leukemia patient linked to aspergillus contaminated marijuana smoking.

Leukemia & lymphoma 2001 Nov-Dec;42;1433-7 — 2001 Nov-Dec — 1433-7

Cunnington D, Teichtahl H, Hunt JM, Dow C, Valentine R

Necrotizing pulmonary granulomata in a marijuana smoker.

Chest 2000 May;117;1511-5 — 2000 May — 1511-5

Marks WH, Florence L, Lieberman J, Chapman P, Howard D, Roberts P, Perkinson D

Successfully treated invasive pulmonary aspergillosis associated with smoking marijuana in a renal transplant recipient.

Transplantation 1996 Jun 27;61;1771-4 — 1996 Jun 27 — 1771-4

Kagen SL, Kurup VP, Sohnle PG, Fink JN

Marijuana smoking and fungal sensitization.

The Journal of allergy and clinical immunology 1983 Apr;71;389-93 — 1983 Apr — 389-93

Sutton S, Lum BL, Torti FM

Possible risk of invasive pulmonary aspergillosis with marijuana use during chemotherapy for small cell lung cancer.

Drug intelligence & clinical pharmacy 1986 Apr;20;289-91 — 1986 Apr — 289-91

Denning DW, Follansbee SE, Scolaro M, Norris S, Edelstein H, Stevens DA

Pulmonary aspergillosis in the acquired immunodeficiency syndrome.

The New England journal of medicine 1991 Mar 07;324;654-62 — 1991 Mar 07 — 654-62

Chusid MJ, Gelfand JA, Nutter C, Fauci AS

Letter: Pulmonary aspergillosis, inhalation of contaminated marijuana smoke, chronic granulomatous disease.

Annals of internal medicine 1975 May;82;682-3 — 1975 May — 682-3