DO NOT FALL to the VAPE TRAP!

Respiratory Medicine Case Reports
Sudeep AcharyaAllison Glaser

Abstract

Whilst the use of combustible tobacco products continues to decline in the United States, the use of e-cigarettes has seen an explosive rise in recent years. In 2019 an outbreak on EVALI was seen across the country, highlighting the fact that e-cigarettes may not be as harmless as previously perceived. A 22-year-old male came to the emergency department complaining of vomiting and shortness of breath. Patient reported using a "pod" a day of a "JUUL" e-cigarette. Patient's oxygen requirement continued to increase and was eventually shifted to the intensive care unit and mechanically ventilated. After a course of intravenous glucocorticoids, the patient was successfully weaned off the mechanical ventilation to oral glucocorticoids and discharged. Our patient's clinical course can be described as a "classic" case of EVALI. But in contrast to previously reported cases, our patient did not use e-cigarettes known to contain vitamin E acetate or THC two common substances implicated in EVALI. Our patient exclusively used a JUUL e-cigarette at a rate much higher than the typical user. The widespread use of JUUL and e-cigarettes especially amongst the younger demographics is especially concerning. Research efforts must be directed toward...Continue Reading

References

Sep 7, 2019·The New England Journal of Medicine·Jennifer E LaydenJonathan Meiman
Sep 7, 2019·The New England Journal of Medicine·Sean D MaddockScott K Aberegg
Sep 13, 2019·MMWR. Morbidity and Mortality Weekly Report·Joshua G SchierUNKNOWN CDC 2019 Lung Injury Response Group
Jan 3, 2020·MMWR. Morbidity and Mortality Weekly Report·Christina A MikoszUNKNOWN Lung Injury Response Epidemiology/Surveillance Task Force
Feb 27, 2020·The New England Journal of Medicine·Tariq A BhatYasmin M Thanavala
Mar 12, 2020·Proceedings of the National Academy of Sciences of the United States of America·Dan Wu, Donal F O'Shea

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Methods Mentioned

BETA
X-ray
PCR
bronchoalveolar lavage
BAL

Software Mentioned

JUUL

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