Cargando…
Vanishing Lung Syndrome in a Patient with HIV Infection and Heavy Marijuana Use
Vanishing lung syndrome (VLS) is a rare and distinct clinical syndrome that usually affects young men. VLS leads to severe progressive dyspnea and is characterized by extensive, asymmetric, peripheral, and predominantly upper lobe giant lung bullae. Case reports have suggested an additive role of ma...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2014
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3910399/ https://www.ncbi.nlm.nih.gov/pubmed/24511405 http://dx.doi.org/10.1155/2014/285208 |
_version_ | 1782301974315663360 |
---|---|
author | Tashtoush, Basheer Gonzalez-Ibarra, Fernando Memarpour, Roya Hadeh, Anas Smolley, Laurence |
author_facet | Tashtoush, Basheer Gonzalez-Ibarra, Fernando Memarpour, Roya Hadeh, Anas Smolley, Laurence |
author_sort | Tashtoush, Basheer |
collection | PubMed |
description | Vanishing lung syndrome (VLS) is a rare and distinct clinical syndrome that usually affects young men. VLS leads to severe progressive dyspnea and is characterized by extensive, asymmetric, peripheral, and predominantly upper lobe giant lung bullae. Case reports have suggested an additive role of marijuana use in the development of this disease in young male tobacco smokers. We herein report a case of a 65-year-old Hispanic male previously diagnosed with severe emphysema and acquired immune deficiency syndrome (AIDS), with a history of intravenous heroin use and active marijuana smoking who presents to the emergency department with severe progressive shortness of breath he was found to have multiple large subpleural bullae occupying more than one-third of the hemithorax on chest computerized tomography (CT), characteristic of vanishing lung syndrome. The patient was mechanically ventilated and later developed a pneumothorax requiring chest tube placement and referral for surgical bullectomy. Surgical bullectomy has shown high success rates in alleviating the debilitating symptoms and preventing the life threatening complications of this rare syndrome. This case further emphasizes the importance of recognizing VLS in patients with severe emphysema and heavy marijuana smoking. |
format | Online Article Text |
id | pubmed-3910399 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-39103992014-02-09 Vanishing Lung Syndrome in a Patient with HIV Infection and Heavy Marijuana Use Tashtoush, Basheer Gonzalez-Ibarra, Fernando Memarpour, Roya Hadeh, Anas Smolley, Laurence Case Rep Pulmonol Case Report Vanishing lung syndrome (VLS) is a rare and distinct clinical syndrome that usually affects young men. VLS leads to severe progressive dyspnea and is characterized by extensive, asymmetric, peripheral, and predominantly upper lobe giant lung bullae. Case reports have suggested an additive role of marijuana use in the development of this disease in young male tobacco smokers. We herein report a case of a 65-year-old Hispanic male previously diagnosed with severe emphysema and acquired immune deficiency syndrome (AIDS), with a history of intravenous heroin use and active marijuana smoking who presents to the emergency department with severe progressive shortness of breath he was found to have multiple large subpleural bullae occupying more than one-third of the hemithorax on chest computerized tomography (CT), characteristic of vanishing lung syndrome. The patient was mechanically ventilated and later developed a pneumothorax requiring chest tube placement and referral for surgical bullectomy. Surgical bullectomy has shown high success rates in alleviating the debilitating symptoms and preventing the life threatening complications of this rare syndrome. This case further emphasizes the importance of recognizing VLS in patients with severe emphysema and heavy marijuana smoking. Hindawi Publishing Corporation 2014 2014-01-08 /pmc/articles/PMC3910399/ /pubmed/24511405 http://dx.doi.org/10.1155/2014/285208 Text en Copyright © 2014 Basheer Tashtoush et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Tashtoush, Basheer Gonzalez-Ibarra, Fernando Memarpour, Roya Hadeh, Anas Smolley, Laurence Vanishing Lung Syndrome in a Patient with HIV Infection and Heavy Marijuana Use |
title | Vanishing Lung Syndrome in a Patient with HIV Infection and Heavy Marijuana Use |
title_full | Vanishing Lung Syndrome in a Patient with HIV Infection and Heavy Marijuana Use |
title_fullStr | Vanishing Lung Syndrome in a Patient with HIV Infection and Heavy Marijuana Use |
title_full_unstemmed | Vanishing Lung Syndrome in a Patient with HIV Infection and Heavy Marijuana Use |
title_short | Vanishing Lung Syndrome in a Patient with HIV Infection and Heavy Marijuana Use |
title_sort | vanishing lung syndrome in a patient with hiv infection and heavy marijuana use |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3910399/ https://www.ncbi.nlm.nih.gov/pubmed/24511405 http://dx.doi.org/10.1155/2014/285208 |
work_keys_str_mv | AT tashtoushbasheer vanishinglungsyndromeinapatientwithhivinfectionandheavymarijuanause AT gonzalezibarrafernando vanishinglungsyndromeinapatientwithhivinfectionandheavymarijuanause AT memarpourroya vanishinglungsyndromeinapatientwithhivinfectionandheavymarijuanause AT hadehanas vanishinglungsyndromeinapatientwithhivinfectionandheavymarijuanause AT smolleylaurence vanishinglungsyndromeinapatientwithhivinfectionandheavymarijuanause |