Badri Bouchra, Bildstein François, Menager Philippe
Pulmonology Department, Centre Hospitalier Universitaire Ibn Sina, Rabat, Morocco.
Pulmonology Department, Centre Hospitalier Sud Francilien, Corbeil-Essonnes, France.
Radiol Case Rep. 2024 Sep 12;19(12):5766-5769. doi: 10.1016/j.radcr.2024.08.052. eCollection 2024 Dec.
This article explores the case of acute eosinophilic pneumonia (AEP) linked to heavy cannabis inhalation, amidst the rising prevalence of cannabis use globally. AEP, characterized by eosinophilic pulmonary infiltration, poses unique challenges due to its unclear pathogenesis. This case study involves a 20-year-old with recent intense cannabis use, presenting with acute chest pain, cough, and dyspnea. Diagnostic evaluation revealed bilateral interstitial syndrome on thoracic imaging and elevated blood eosinophilia. Additional investigation through bronchoalveolar lavage confirmed the diagnosis of AEP. The patient's condition rapidly improved with glucocorticoids, highlighting the significance of prompt treatment. This article underscores the importance of raising awareness among clinicians of the possibility of AEP following cannabis exposure as a diagnosis to consider, as timely diagnosis and intervention are paramount in averting potentially fatal outcomes.
在全球大麻使用日益普遍的背景下,本文探讨了与大量吸食大麻相关的急性嗜酸性粒细胞性肺炎(AEP)病例。AEP以嗜酸性粒细胞性肺浸润为特征,因其发病机制不明而带来独特挑战。本病例研究涉及一名20岁近期大量吸食大麻的患者,表现为急性胸痛、咳嗽和呼吸困难。诊断评估显示胸部影像学有双侧间质性综合征且血液嗜酸性粒细胞增多。通过支气管肺泡灌洗的进一步检查确诊为AEP。患者使用糖皮质激素后病情迅速改善,突出了及时治疗的重要性。本文强调提高临床医生对大麻暴露后发生AEP可能性的认识作为一种需考虑的诊断的重要性,因为及时诊断和干预对于避免潜在致命后果至关重要。