Document Detail

The importance of an illicit drug history in the evaluation of suspected spontaneous pneumothorax.
MedLine Citation:
PMID:  22693289     Owner:  NLM     Status:  MEDLINE    
The authors present the case of a 27-year-old man who presented with acute left-sided pleuritic chest pain and dyspnoea managed as for a spontaneous pneumothorax with aspiration and subsequent chest drain insertion following a chest radiograph. Despite intervention, however, his chest radiograph showed what appeared to be a non-resolving pneumothorax. Further history revealed a large cannabis smoking exposure and subsequent CT imaging revealed large apical bullous disease with little residual pneumothorax. The patient was referred for cardiothoracic bullectomy and pleurodesis. The authors review the association between cannabis smoke inhalation and apical bullous lung disease and stress the importance of direct questioning on initial history. If a significant history is found, the authors argue that CT imaging and primary cardiothoracic intervention may then be the investigation and management of choice in a stable patient.
A Shah; M Paramlal
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2011-06-30
Journal Detail:
Title:  BMJ case reports     Volume:  2011     ISSN:  1757-790X     ISO Abbreviation:  BMJ Case Rep     Publication Date:  2011  
Date Detail:
Created Date:  2012-06-13     Completed Date:  2013-04-29     Revised Date:  2013-07-12    
Medline Journal Info:
Nlm Unique ID:  101526291     Medline TA:  BMJ Case Rep     Country:  England    
Other Details:
Languages:  eng     Pagination:  -     Citation Subset:  IM    
Department of Respiratory Medicine, West Middlesex University Hospital, Uxbridge, UK.
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MeSH Terms
Marijuana Abuse / complications*
Pneumothorax / etiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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