Exogenous Lipid Pneumonia Related to Smoking Weed Oil Following Cadaveric Renal Transplantation

A 30-year-old female presented shortly after cadaveric renal transplantation with respiratory distress typical of a bacterial infection. Following initial improvement, she developed progressive respiratory failure, initially felt to be secondary to cytomegalovirus infection. Two bronchoalveolar lava...

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Main Authors: Dilini Vethanayagam, Stewart Pugsley, EJ Dunn, David Russell, J Michael Kay, Christopher Allen
Format: Article
Language:English
Published: Wiley 2000-01-01
Series:Canadian Respiratory Journal
Online Access:http://dx.doi.org/10.1155/2000/248915
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author Dilini Vethanayagam
Stewart Pugsley
EJ Dunn
David Russell
J Michael Kay
Christopher Allen
author_facet Dilini Vethanayagam
Stewart Pugsley
EJ Dunn
David Russell
J Michael Kay
Christopher Allen
author_sort Dilini Vethanayagam
collection DOAJ
description A 30-year-old female presented shortly after cadaveric renal transplantation with respiratory distress typical of a bacterial infection. Following initial improvement, she developed progressive respiratory failure, initially felt to be secondary to cytomegalovirus infection. Two bronchoalveolar lavages were nondiagnostic, and an open lung biopsy was performed, which revealed a pulmonary alveolar proteinosis (PAP) reaction and exogenous lipid pneumonia (ELP). The ELP was considered to be secondary to the use of marijuana, in the form of weed oil, that was smoked daily for over 10 years and stopped just before renal transplantation. This is the first description of both PAP and ELP following renal transplantation, and the first description of ELP related to smoking weed oil. Physicians should be aware of the different forms of marijuana available and of their potential medical complications.
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series Canadian Respiratory Journal
spelling doaj-art-d53a4d96db2a457b8a0133b34c5284852025-08-20T02:19:58ZengWileyCanadian Respiratory Journal1198-22412000-01-017433834210.1155/2000/248915Exogenous Lipid Pneumonia Related to Smoking Weed Oil Following Cadaveric Renal TransplantationDilini Vethanayagam0Stewart Pugsley1EJ Dunn2David Russell3J Michael Kay4Christopher Allen5Department of Medicine, St Joseph’s Hospital and McMaster University, Hamilton, Ontario, CanadaDepartment of Medicine, St Joseph’s Hospital and McMaster University, Hamilton, Ontario, CanadaDepartment of Pathology and Molecular Medicine, St Joseph’s Hospital and McMaster University, Hamilton, Ontario, CanadaDepartment of Medicine, St Joseph’s Hospital and McMaster University, Hamilton, Ontario, CanadaDepartment of Pathology and Molecular Medicine, St Joseph’s Hospital and McMaster University, Hamilton, Ontario, CanadaDepartment of Medicine, St Joseph’s Hospital and McMaster University, Hamilton, Ontario, CanadaA 30-year-old female presented shortly after cadaveric renal transplantation with respiratory distress typical of a bacterial infection. Following initial improvement, she developed progressive respiratory failure, initially felt to be secondary to cytomegalovirus infection. Two bronchoalveolar lavages were nondiagnostic, and an open lung biopsy was performed, which revealed a pulmonary alveolar proteinosis (PAP) reaction and exogenous lipid pneumonia (ELP). The ELP was considered to be secondary to the use of marijuana, in the form of weed oil, that was smoked daily for over 10 years and stopped just before renal transplantation. This is the first description of both PAP and ELP following renal transplantation, and the first description of ELP related to smoking weed oil. Physicians should be aware of the different forms of marijuana available and of their potential medical complications.http://dx.doi.org/10.1155/2000/248915
spellingShingle Dilini Vethanayagam
Stewart Pugsley
EJ Dunn
David Russell
J Michael Kay
Christopher Allen
Exogenous Lipid Pneumonia Related to Smoking Weed Oil Following Cadaveric Renal Transplantation
Canadian Respiratory Journal
title Exogenous Lipid Pneumonia Related to Smoking Weed Oil Following Cadaveric Renal Transplantation
title_full Exogenous Lipid Pneumonia Related to Smoking Weed Oil Following Cadaveric Renal Transplantation
title_fullStr Exogenous Lipid Pneumonia Related to Smoking Weed Oil Following Cadaveric Renal Transplantation
title_full_unstemmed Exogenous Lipid Pneumonia Related to Smoking Weed Oil Following Cadaveric Renal Transplantation
title_short Exogenous Lipid Pneumonia Related to Smoking Weed Oil Following Cadaveric Renal Transplantation
title_sort exogenous lipid pneumonia related to smoking weed oil following cadaveric renal transplantation
url http://dx.doi.org/10.1155/2000/248915
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