In this case, we present a one-of-a-kind case of vaping-related lung injury and treatment options. A previously stable 17-year-old male was admitted to the hospital with uncontrollable and recurrent vomiting, fever, cough, stomach pain, sporadic diarrhoea, and dehydration. He had intense chest pain and O2 desaturations of up to 80% on room air when he arrived. Except for elevated inflammatory markers with a C-reactive protein (CRP) of 261 mg/L, erythrocyte sedimentation rate (ESR) of 53 mm/hr, and a d-dimer of 0.93 mcg/ml, an infectious (including a Nasopharyngeal swab), GI, and cardiac workup was negative. An X-ray of the chest revealed diffuse multifocal infiltrates. For a suspected pneumonia, the patient was treated with ceftriaxone and azithromycin. In addition, he was given 4L of nasal cannula O2 supplementation. A chest CT was performed to rule out a pulmonary embolism due to chronic hypoxic respiratory failure, worsening respiratory distress clinically, with tachypnea and retractions, and lab results of elevated d-dimer (PE). The CT results were negative for PE but showed diffuse airspace opacities, mainly in the lower lobes, with a ground-glass appearance, which could indicate ARDS. After a thorough examination of the patient's social background, it was discovered that the patient had been vaping nicotine products for the past four years and tetrahydrocannabinol (THC) products for the past several months. For a diagnosis of E-cigarette or Vaping Product Use Associated Lung Injury (EVALI), he was started on Prednisone 30mg BID right away and began to show clinical progress. Over the next 24 hours, the patient was able to transition from supplementary oxygen to room air, and clinical signs of respiratory failure started to improve.
Author (s) DetailsAmee A. Amin
Charleston Area Medical Center Women & Children’s Hospital, USA and WVU Department of Pediatrics, USA.
Erica Haught
West Virginia University School of Medicine, USA.
Youmna Mousattat
Charleston Area Medical Center Women & Children’s Hospital, USA and WVU Department of Pediatrics, USA.
View Book :- https://stm.bookpi.org/HMMR-V11/article/view/890
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