title: [Alveolar haemorrhage following a cannabis water pipe].
abstract: Respiratory toxicity of cannabis is well-known today particularly with the new consumption patterns. We report the case of a 25-year-old man admitted for haemoptysis, with unfavourable outcome and acute respiratory failure. Various explorations concluded to acute respiratory distress syndrome secondary to diffuse alveolar haemorrhage. Etiological assessment was initially negative. Outcome was favourable during hospitalization, authorizing the discharge of our patient. Two days later, alveolar haemorrhage recur, with positive toxicological tests for cannabis and the patient admits smoking cannabis by plastic "bang". We illustrate, through this case, the severity of respiratory complications caused by new methods of using cannabis, particularly with plastic 'bang', hence the need to insist of the importance of supported withdrawal and to inform young people how these techniques are serious.ssss.
authors.affiliation: Service de pneumologie, hôpital militaire principal d'instruction de Tunis, faculté de médecine de Tunis, Montfleury, 1008 Tunis, Tunisie. Electronic address: moatemrizied@yahoo.fr.
authors.forename: Z
authors.initials: Z
authors.lastname: Moatemri
authors.affiliation: Service de pneumologie, hôpital militaire principal d'instruction de Tunis, faculté de médecine de Tunis, Montfleury, 1008 Tunis, Tunisie.
authors.forename: H
authors.initials: H
authors.lastname: Zaibi
authors.affiliation: Service de pneumologie, hôpital militaire principal d'instruction de Tunis, faculté de médecine de Tunis, Montfleury, 1008 Tunis, Tunisie.
authors.forename: S
authors.initials: S
authors.lastname: Dabboussi
authors.affiliation: Service de pneumologie, hôpital militaire principal d'instruction de Tunis, faculté de médecine de Tunis, Montfleury, 1008 Tunis, Tunisie.
authors.forename: S
authors.initials: S
authors.lastname: Mhamedi
authors.affiliation: Service de pneumologie, hôpital militaire principal d'instruction de Tunis, faculté de médecine de Tunis, Montfleury, 1008 Tunis, Tunisie.
authors.forename: C
authors.initials: C
authors.lastname: Aichaouia
authors.affiliation: Service de pneumologie, hôpital militaire principal d'instruction de Tunis, faculté de médecine de Tunis, Montfleury, 1008 Tunis, Tunisie.
authors.forename: M
authors.initials: M
authors.lastname: Khadhraoui
authors.affiliation: Service de pneumologie, hôpital militaire principal d'instruction de Tunis, faculté de médecine de Tunis, Montfleury, 1008 Tunis, Tunisie.
authors.forename: R
authors.initials: R
authors.lastname: Cheikh
mesh_terms: D000328:Adult; D002188:Cannabis / Q000009:adverse effects; D006469:Hemoptysis / Q000209:etiology* / Q000473:pathology; D006470:Hemorrhage / Q000209:etiology* / Q000473:pathology; D006801:Humans; D008297:Male; D008385:Marijuana Smoking / Q000009:adverse effects*; D011650:Pulmonary Alveoli / Q000098:blood supply / Q000473:pathology*; D012907:Smoking / Q000009:adverse effects*
keywords: Cannabis; Crack; Hemoptysis; Hémoptysie; Hémorragie alvéolaire; Pipe à eau; Pulmonary haemorrhage; Sevrage tabagique; Smoking cessation; Water pipe