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A presentation of E-Cigarette vaping associated lung injury (EVALI) caused by
THC-Containing electronic smoking device
#MMPMID32690998
Galo J
; Celli D
; Gross D
; Holt G
; Campos M
Respir Med Case Rep
2020[]; 31
(?): 101154
PMID32690998
show ga
Several cases have recently been reported concerning the development of a
syndrome of acute lung injury associated with the use of electronic cigarettes,
leading to respiratory failure and several deaths. We present a case of a young
veteran who presented with e-cigarette vaping associated lung injury (EVALI) to a
primary care clinic and who required subsequent inpatient admission and home
oxygen therapy after discharge. The patient afterwards improved after a
three-month course of steroids and cessation of THC-containing electronic
cigarettes, consistent with previously reported cases. Furthermore, evidence on
bronchoscopy and biopsy demonstrated intracellular lipid droplets in the
patient's macrophages. This outpatient case of EVALI prompts primary care
providers to raise suspicion of this condition, and enquire about the use of
e-cigarettes, particularly THC-containing vaping products. Furthermore, in the
setting of the COVID-19 pandemic, similar clinical and radiographic presentations
between COVID-19 and EVALI can be seen.