Feb 12, 2020

Vaping Associated Pulmonary Injury (VAPI) with superimposed Mycoplasma pneumoniae infection

Respiratory Medicine Case Reports
Shravan KooragayaluSunit Jariwala

Abstract

There is growing evidence that vaping has the potential to cause adverse health effects. Vaping is affecting the younger and healthier population which is a public concern. Mycoplasma pneumoniae pneumonia is a benign condition and is usually underdiagnosed and is managed in an outpatient setting. Here we present a case of fulminant MPP in a young adult probably associated with VAPI. A 24-year-old woman presented to our hospital for severe hypoxic respiratory failure needing intubation and intensive care unit admission. She had a history for vaping for 2 years prior to presentation. She had fever and an elevated white count. Her Chest X-Ray and CT scan of the chest were consistent with bilateral predominantly lower lobe patchy opacities. She had mildly elevated serum LDH and Urine toxicology screen was positive for THC. Serum IgM Mycoplasma level was positive and her BAL fluid analysis showed lipid-laden macrophages. She was diagnosed as a probable case of VAPI per CDC guidelines with superimposed fulminant MPP. Vaping is known to increase the risk of viral and bacterial pneumonia by compromising the respiratory local immune response. Vaping also causes lipoid pneumonia where the alveoli are filled with lipid-laden macrophages w...Continue Reading

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Mentioned in this Paper

Mycoplasma pneumoniae
Fever
Serum
Infection due to Mycoplasma Pneumoniae
Medical History
LDHA
Lung Injury
Documented
Literature
Immune Response

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