scholarly journals Acute Eosinophilic Pneumonia Due to Vaping-Associated Lung Injury

2020 ◽  
Vol 6 (4) ◽  
pp. 259-262
Author(s):  
Molly Wolf ◽  
Jeremy Richards
Keyword(s):  
Respiratory Failure ◽  
Lung Injury ◽  
Electronic Cigarettes ◽  
Eosinophilic Pneumonia ◽  
Electronic Cigarette ◽  
Therapeutic Interventions ◽  
Potential Consequence ◽  
Acute Eosinophilic Pneumonia ◽  
Hypoxic Respiratory Failure

AbstractA case is described of a 29-year-old female who presented with acute hypoxic respiratory failure due to acute eosinophilic pneumonia, associated with the use of electronic cigarettes to vape tetrahydrocannabinol (THC), together with the contemporary clinical understanding of the syndrome of electronic-cigarette associated lung injury (EVALI). Attention is drawn to acute eosinophilic pneumonia as a potential consequence of vaping-associated lung injury to understand the diagnostic evaluations and therapeutic interventions for acute eosinophilic pneumonia associated with vaping THC.

scholarly journals Review of Health Consequences of Electronic Cigarettes and the Outbreak of Electronic Cigarette, or Vaping, Product Use-Associated Lung Injury

2020 ◽  
Vol 16 (3) ◽  
pp. 295-310 ◽  
Author(s):  
Dazhe James Cao ◽  
Kim Aldy ◽  
Stephanie Hsu ◽  
Molly McGetrick ◽  
Guido Verbeck ◽  
...  
Keyword(s):  
Lung Injury ◽  
Electronic Cigarettes ◽  
Electronic Cigarette ◽  
Health Consequences ◽  
Product Use

Secondhand smoke from electronic cigarette resulting in hypersensitivity pneumonitis

2020 ◽  
Vol 13 (3) ◽  
pp. e233381 ◽  
Author(s):  
Panagis Galiatsatos ◽  
Erin Gomez ◽  
Cheng Ting Lin ◽  
Peter B Illei ◽  
Pali Shah ◽  
...  
Keyword(s):  
Lung Injury ◽  
Secondhand Smoke ◽  
Hypersensitivity Pneumonitis ◽  
Electronic Cigarettes ◽  
Electronic Cigarette ◽  
Cigarette Use ◽  
Diagnostic Investigation ◽  
Health Related ◽  
The Usa ◽  
Exposure To Secondhand Smoke

Cases of vaping-induced lung injury have increased in the USA, resulting in a heterogeneous collection of pneumonitis patterns in persons who used electronic cigarettes. Hypersensitivity pneumonitis has been documented in several cases of first-hand electronic cigarette use; however, secondhand smoke health-related consequences have not been fully understood. We present a case of the patient who developed hypersensitivity pneumonitis secondary to exposure to secondhand smoke from electronic cigarette. We summarise the presentation and diagnostic investigation, as well as the management of this case.

scholarly journals Acute Eosinophilic Pneumonia Secondary to Menthol Cigarette Use: A Rare Phenomenon With a Review of Literature

2020 ◽  
Vol 8 ◽  
pp. 232470962092597
Author(s):  
Prateek Suresh Harne ◽  
Suman Rao ◽  
Muhammad Malik ◽  
Zachary Shepherd
Keyword(s):  
Respiratory Failure ◽  
Bronchoalveolar Lavage ◽  
Eosinophilic Pneumonia ◽  
Optimum Dose ◽  
Cigarette Use ◽  
Shortness Of Breath ◽  
Menthol Cigarette ◽  
Length Of Treatment ◽  
Acute Eosinophilic Pneumonia

Idiopathic acute eosinophilic pneumonia (AEP) is a very rare disease with fewer than 200 cases reported. It has been hypothesized to be a hypersensitivity reaction to an unidentified antigen. The clinical presentation typically involves fever, nonproductive cough, shortness of breath, and bibasilar inspiratory crackles within the first week of antigen exposure. Chest imaging usually reveals bilateral reticular and/or ground-glass opacities. Bronchoalveolar lavage demonstrates >25% eosinophils. Corticosteroids are the mainstay of treatment with good results; however, optimum dose and length of treatment are unclear. We present a case of a 31-year-old male who presented with 2 days of shortness of breath, cough, pleuritic chest pain, fevers, chills, nausea, and poor appetite in the setting of initiation of menthol-flavored cigarettes 2 weeks before presentation. He rapidly progressed to respiratory failure requiring intubation despite broad antibiotic coverage. His course was complicated by severe acute respiratory distress syndrome, circulatory shock, and renal failure. He underwent bronchoalveolar lavage testing that revealed 60% eosinophils. He was treated with steroids and was subsequently extubated and discharged. Eosinophilic counts in the blood peaked on the 10th day of admission to 34%. One week later, the patient was completely free of symptoms. The initiation of menthol cigarette use in this patient is the likely reason for ensuing acute eosinophilic pneumonia, hence adding to the sporadic reports on the role of menthol-flavored cigarettes. This case emphasizes a greater reliance on risk factors, as opposed to eosinophilic markers, for the diagnosis and treatment of acute eosinophilic pneumonia to prevent subsequent respiratory failure and intubation in such patients.

scholarly journals Vaping-associated lung injury: a case report and literature review

2021 ◽  
Vol 5 (2) ◽  
pp. 1-4
Author(s):  
Dewansh Goel ◽  
Kenneth Iyamu
Keyword(s):  
Case Report ◽  
Respiratory Failure ◽  
Lung Injury ◽  
Clinical Presentation ◽  
Clinical Course ◽  
Electronic Cigarettes ◽  
Invasive Mechanical Ventilation ◽  
Young Male ◽  
Acute Onset ◽  
Current Evidence

Usage of vaping and electronic cigarettes products is a growing trend among young adults, with rising rates worldwide. Such products are gaining popularity for many reasons including an alternative to smoking cigarettes, trying something new, or as a means to relax. While users may feel that these products are less harmful or a safer substitute to smoking traditional products, the side effect profile of vape inhalation has the potential for profound injury to the lung tissue and significant respiratory failure. We would like to present a case in which a young male who was evaluated at our Emergency department for acute onset respiratory failure subsequently requiring invasive mechanical ventilation in the setting of vaping associated lung injury (VALI). In the case report, we will highlight the patient’s clinical course as well as a summary of the current evidence surrounding evaluation, diagnosis and management of this emerging pathology. We want to emphasize the importance of a detailed history which should include the use of vaping products when a young patient presents with acute respiratory failure, allowing VALI to be in the differential diagnosis. Additionally, we want to compare the clinical presentation of VALI to that of COVID-19 pneumonia as they both have many similar attributes including symptoms and findings on lung imaging studies.

The Pathologist's Approach to Acute Lung Injury

2010 ◽  
Vol 134 (5) ◽  
pp. 719-727 ◽  
Author(s):  
Mary Beth Beasley
Keyword(s):  
Acute Lung Injury ◽  
Lung Injury ◽  
Personal Experience ◽  
Distress Syndrome ◽  
Clinical Presentation ◽  
Diffuse Alveolar Damage ◽  
Eosinophilic Pneumonia ◽  
Patient Treatment ◽  
Acute Eosinophilic Pneumonia ◽  
Etiologic Agents

Abstract Context.—Acute lung injury and acute respiratory distress syndrome are significant causes of pulmonary morbidity and are frequently fatal. These 2 entities have precise definitions from a clinical standpoint. Histologically, cases from patients with clinical acute lung injury typically exhibit diffuse alveolar damage, but other histologic patterns may occasionally be encountered such as acute fibrinous and organizing pneumonia, acute eosinophilic pneumonia, and diffuse hemorrhage with capillaritis. Objective.—To review the diagnostic criteria for various histologic patterns associated with a clinical presentation of acute lung injury and to provide diagnostic aids and discuss the differential diagnosis. Data sources.—The review is drawn from pertinent peer-reviewed literature and the author's personal experience. Conclusions.—Acute lung injury remains a significant cause of morbidity and mortality. The pathologist should be aware of histologic patterns of lung disease other than diffuse alveolar damage, which are associated with a clinical presentation of acute lung injury. Identification of these alternative histologic findings, as well as identification of potential etiologic agents, especially infection, may impact patient treatment and disease outcome.

Acute Eosinophilic Pneumonia as a Reversible Cause of Noninfectious Respiratory Failure

1989 ◽  
Vol 321 (9) ◽  
pp. 569-574 ◽  
Author(s):  
James N. Allen ◽  
Eric R. Pacht ◽  
James E. Gadek ◽  
W. Bruce Davis
Keyword(s):  
Respiratory Failure ◽  
Eosinophilic Pneumonia ◽  
Acute Eosinophilic Pneumonia
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