Cannabis use leads to severe dyspnoea

Chief Complaint A 63 year old male presents with cough, severe dyspnoea & chills for 10 days. Chest x-ray shows basilar infiltrations. Treatment for pneumonia was started, 2 days later he presents with respiratory failure with hypoxia & was put on ventilator. History Patient has h/o asthma & diabetes. He was a chronic smoker 30 years back. Investigations CT shows b/l ground-glass opacities. All his investigations were pointed towards hypersensitivity pneumonitis. Patient also revealed cannabis use. Diagnosis What are your comments? Treatment Advise the management plan.

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