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Chest. Legionnaires Disease in Cannabis Smokers

Giuseppe

Emeritus
Legionnaires Disease in Cannabis Smokers (CHEST, abstract, edited)


[Source: Chest, full text: <cite cite="http://chestjournal.chestpubs.org/content/138/4/989.short?rss=1">Legionnaires Disease in Cannabis Smokers ? CHEST</cite>. Abstract, edited.]

Legionnaires Disease in Cannabis Smokers

1. Lan Tien Nguyen, MD, 2. Val?rie Picard-Bernard, MD and 3. Jean Perriot, MD

Author Affiliations
1. From the Service de Pneumologie, Unit? d?Addictologie (Dr Nguyen), CH Jacques Lacarin, Vichy; the Service de Psychiatrie Adultes, Unit? d?Addictologie (Dr Picard-Bernard), CH Thiers; and the Dispensaire Emile Roux (Dr Perriot), Clermont Ferrand, France.

1. Correspondence to: Lan Tien Nguyen, MD, Service de Pneumologie, Unit? d?Addictologie, CH Jacques Lacarin, BP 2757, 03207 Vichy Cedex, France; e-mail: lantien.nguyen@ch-vichy.fr


Abstract

Tobacco smoking is a well-recognized risk factor for Legionnaires disease. However, it may be potentiated by cannabis use, as there is strong evidence that Δ9-tetrahydrocannabinol impairs immune functions in vitro and in vivo. We report herein two out of three cases of severe Legionnaires disease in three men with no overt comorbid illnesses, aged 38, 28, and 48 years, respectively. All of them were heavy cigarette and cannabis smokers.


Footnotes

* Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (http://www.chestpubs.org/site/misc/reprints.xhtml).


#Abbreviations
AMs alveolar macrophages
CB cannabinoid receptor
IL interleukin
Lp Legionella pneumophila
Th T helper
THC tetrahydrocannabinol

* Received February 12, 2010.
* Accepted April 5, 2010.
* ? 2010 American College of Chest Physicians

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