title: Pleuritic chest pain and fluid levels on imaging in a heavy cannabis smoker.
abstract: We present the case of a 48-year-old man with an extensive cannabis smoking history who presented with pleuritic chest pain. A chest X-ray revealed multiple large, apical lung bullae with fluid levels, an appearance consistent with infection. Lung function tests showed moderate airflow obstruction and decreased gas transfer. The infection was treated with a prolonged course of antimicrobials, and the patient followed up by respiratory physicians.
authors: Department of Acute Medicine, Warwick Hospital, Warwick, UK.
authors: Rachel Margaret
authors: RM
authors: Cary
authors: Department of Acute Medicine, Warwick Hospital, Warwick, UK.
authors: Craig
authors: C
authors: Bragg
authors: Department of Respiratory Medicine, Warwick Hospital, Warwick, UK.
authors: Jayanta
authors: J
authors: Mukherjee
mesh_terms: D002177:Candidiasis / Q000209:etiology*; D002637:Chest Pain / Q000209:etiology*; D006801:Humans; D008172:Lung Diseases, Fungal / Q000209:etiology*; D008297:Male; D008385:Marijuana Smoking / Q000009:adverse effects*; D008875:Middle Aged; D010995:Pleural Diseases / Q000209:etiology; D014057:Tomography, X-Ray Computed
references: Expert Rev Respir Med. 2011 Feb;5(1):87-92
references: 21348589
references: Addiction. 2002 Aug;97(8):1055-61
references: 12144608
references: Expert Rev Respir Med. 2011 Aug;5(4):537-46; quiz 547
references: 21859273
references: Respirology. 2008 Jan;13(1):122-7
references: 18197922
references: Lancet. 1998 Nov 14;352(9140):1611-6
references: 9843121
references: Thorax. 2000 Apr;55(4):340-2
references: 10722775