Pulmonary mucormycosis associated with medical marijuana use
A 66-year-old man with diabetes presented to the hospital with a two-month history of dyspnea, cough, rust-colored sputum, night sweats and 20 pound weight loss. He had begun smoking medical marijuana 3 months earlier. CT of the chest showed multiple bilateral large ground glass opacities with surro...
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| Published in | Respiratory medicine case reports Vol. 26; pp. 176 - 179 |
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| Main Authors | , , |
| Format | Journal Article |
| Language | English |
| Published |
England
Elsevier Ltd
01.01.2019
Elsevier |
| Subjects | |
| Online Access | Get full text |
| ISSN | 2213-0071 2213-0071 |
| DOI | 10.1016/j.rmcr.2019.01.008 |
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| Abstract | A 66-year-old man with diabetes presented to the hospital with a two-month history of dyspnea, cough, rust-colored sputum, night sweats and 20 pound weight loss. He had begun smoking medical marijuana 3 months earlier. CT of the chest showed multiple bilateral large ground glass opacities with surrounding consolidation. Infectious workup was negative. BAL was non-diagnostic. He was treated with broad spectrum antibiotics without improvement. VATS was performed and cultured lung tissue grew Rhizopus species. He was started on intravenous liposomal amphotericin B and micafungin and then transitioned to oral posaconazole after two weeks. Repeat CT two months later showed stable size of the cavities. One month later he died of massive pulmonary hemorrhage. Here we document what we believe is the first known case of pulmonary mucormycosis associated with medical marijuana use. |
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| AbstractList | A 66-year-old man with diabetes presented to the hospital with a two-month history of dyspnea, cough, rust-colored sputum, night sweats and 20 pound weight loss. He had begun smoking medical marijuana 3 months earlier. CT of the chest showed multiple bilateral large ground glass opacities with surrounding consolidation. Infectious workup was negative. BAL was non-diagnostic. He was treated with broad spectrum antibiotics without improvement. VATS was performed and cultured lung tissue grew Rhizopus species. He was started on intravenous liposomal amphotericin B and micafungin and then transitioned to oral posaconazole after two weeks. Repeat CT two months later showed stable size of the cavities. One month later he died of massive pulmonary hemorrhage. Here we document what we believe is the first known case of pulmonary mucormycosis associated with medical marijuana use. A 66-year-old man with diabetes presented to the hospital with a two-month history of dyspnea, cough, rust-colored sputum, night sweats and 20 pound weight loss. He had begun smoking medical marijuana 3 months earlier. CT of the chest showed multiple bilateral large ground glass opacities with surrounding consolidation. Infectious workup was negative. BAL was non-diagnostic. He was treated with broad spectrum antibiotics without improvement. VATS was performed and cultured lung tissue grew Rhizopus species. He was started on intravenous liposomal amphotericin B and micafungin and then transitioned to oral posaconazole after two weeks. Repeat CT two months later showed stable size of the cavities. One month later he died of massive pulmonary hemorrhage. Here we document what we believe is the first known case of pulmonary mucormycosis associated with medical marijuana use.A 66-year-old man with diabetes presented to the hospital with a two-month history of dyspnea, cough, rust-colored sputum, night sweats and 20 pound weight loss. He had begun smoking medical marijuana 3 months earlier. CT of the chest showed multiple bilateral large ground glass opacities with surrounding consolidation. Infectious workup was negative. BAL was non-diagnostic. He was treated with broad spectrum antibiotics without improvement. VATS was performed and cultured lung tissue grew Rhizopus species. He was started on intravenous liposomal amphotericin B and micafungin and then transitioned to oral posaconazole after two weeks. Repeat CT two months later showed stable size of the cavities. One month later he died of massive pulmonary hemorrhage. Here we document what we believe is the first known case of pulmonary mucormycosis associated with medical marijuana use. |
| Author | Prakash, Vidhya Henkle, Joseph Stone, Taylor |
| AuthorAffiliation | Southern Illinois University School of Medicine, Springfield, IL, USA |
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| Cites_doi | 10.3389/fphar.2016.00108 10.1111/j.1469-0691.2009.02999.x 10.1172/JCI71349 10.3109/10428190109097776 10.1200/JCO.2007.15.2777 10.1086/432579 10.1172/JCI42164 10.1016/j.pneumo.2012.12.006 10.1093/cid/cit929 10.1128/CMR.18.3.556-569.2005 10.1177/107327481602300311 10.1111/j.1469-0691.2009.02972.x 10.4084/mjhid.2011.005 10.1016/0003-4975(94)90243-7 10.1016/j.cmi.2016.12.001 10.1001/archinte.159.12.1301 10.2147/DDDT.S145545 |
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| Title | Pulmonary mucormycosis associated with medical marijuana use |
| URI | https://www.clinicalkey.com/#!/content/1-s2.0-S221300711830282X https://dx.doi.org/10.1016/j.rmcr.2019.01.008 https://www.ncbi.nlm.nih.gov/pubmed/30671341 https://www.proquest.com/docview/2179440248 https://pubmed.ncbi.nlm.nih.gov/PMC6330507 https://doaj.org/article/dea4ed98545d4f5a9274f3384beaae43 |
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