Статья

E-cigarette or vaping induced lung injury: A case series and literature review

S. Doukas, L. Kavali, R. Menon, B. Izotov, A. Bukhari,
2021

Introduction: Recently, a rapidly increasing number of e-cigarette or vaping induced lung injury (EVALI) has been reported across the nation. Given the ongoing epidemic, it has been suggested that specific chemical substances used as additives in e-cigarettes could be highly related to EVALI. A history of vaping with positive radiographic changes and low suspicion for active infection are requirements for diagnosis but it still remains a diagnosis of exclusion. The course of the disease, mechanism of lung injury and the optimal management options need to be better understood. Here we aimed to discuss the clinical characteristics recognized in a case series of ten hospitalized EVALI patients with radiological findings of lung injury and provide an up today summary of the known literature of EVALI-induced lung injury. Methods: A retrospective chart review was conducted on ten patients who presented to Saint Peter's University Hospital in New Brunswick, NJ from July 2019 to February 2020, with a mean hospital stay of five days. According to the CDC recommended definition of the disease, our cases met the current working definition of confirmed or probable cases of EVALI. Results: Ten patients, with mean age 30.8 years (50 % male) and average years of vaping 1.708 with 60 % endorsing a simultaneous history of cannabis-related products use, went under a retrospective review. 3/10 (30 %) had documented medically-managed pulmonary disease history, 8/10 (80 %) presented with the respiratory-related chief complaint, 6/10 (60 %) presented with gastrointestinal symptoms and 7/10 (70 %) had constitutional symptoms. All patients (100 %) were found to have bilateral ground-glass opacities on chest imaging. 9/10 were admitted, 6/10 (60 %) had an oxygen saturation of

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  • 1. Version of Record от 2021-04-27

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Об авторах
  • S. Doukas
    Department of Internal Medicine, Saint Peter's University Hospital, 254 Easton Ave, New Brunswick, NJ 08901, United States
  • L. Kavali
    Department of Forensic Sciences and Laboratory of Toxicology, Medical School, University of Crete, Heraklion, 71003, Greece
  • R. Menon
    Department of Analytical and Forensic Medical Toxicology, Sechenov University, Moscow, 119048, Russian Federation
  • B. Izotov
    Department of Medicine, Division of Pulmonary and Critical Care 240 Easton Ave, Adult Ambulatory at Cares Building 4th Floor, New Brunswick, NJ 08901, United States
  • A. Bukhari
Название журнала
  • Toxicology Reports
Том
  • 7
Страницы
  • 1381-1386
Издатель
  • Elsevier Inc.
Тип документа
  • journal article
Тип лицензии Creative Commons
  • CC
Правовой статус документа
  • Свободная лицензия
Источник
  • scopus