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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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

5

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

2
Last update : 31/10/2012
 
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Diagnosing DIRD
1
Drug and radiation history
2
Drug singularity - Correct identification of the drug
3
Consistent timing of exposure v. onset of symptoms
4
Clinical, imaging, BAL, pathological pattern consistent with the specific drug
5
Careful exlusion of another cause
6
Remission of symptoms with removal of drug
7
Recurrence with rechallenge (rarely advisable)
8
Causality assessment
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See also under
Abused drugs/substances (illicit-, street drugs - IV/inhaled)
5
Cannabinoids - Cannabinoid receptor agonists (synthetic) (K2, Spice)
5
Cannabis oil, paste, resin-H oil-Cannabidiol (inhaled)
1
E-cigarette - E-vaporizers - ENDS - Vaping - Dabbing
5
Talc (inhaled, sniffed, i.v., intrapleural)
3
Tobacco smoke - Cigarette smoking
5

Publications

Too many mouldy joints - marijuana and chronic pulmonary aspergillosis.
Mediterranean journal of hematology and infectious diseases 2011;3;e2011005 2011
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
Early invasive pulmonary aspergillosis in a leukemia patient linked to aspergillus contaminated marijuana smoking.
Leukemia & lymphoma 2001;42;1433-7 2001
Necrotizing pulmonary granulomata in a marijuana smoker.
Chest 2000 May;117;1511-5 2000 May
Successfully treated invasive pulmonary aspergillosis associated with smoking marijuana in a renal transplant recipient.
Transplantation 1996 Jun 27;61;1771-4 1996 Jun 27
Pulmonary aspergillosis in the acquired immunodeficiency syndrome.
The New England journal of medicine 1991 Mar 07;324;654-62 1991 Mar 07
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
Marijuana smoking and fungal sensitization.
The Journal of allergy and clinical immunology 1983 Apr;71;389-93 1983 Apr
Letter: Pulmonary aspergillosis, inhalation of contaminated marijuana smoke, chronic granulomatous disease.
Annals of internal medicine 1975 May;82;682-3 1975 May

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