Pediatric Acute Respiratory Distress Syndrome and Hypersensitivity Pneumonitis Related to E-cigarette Vaping

Binh Phung, Anh Lam

Research output: Contribution to journalArticle

Abstract

In recent years, electronic cigarettes (e-cigs) have been falsely advertised as safe alternatives to conventional smoking. We report a case involving a 16-year-old female who presented with fever, nonproductive cough, and shortness of breath after vaping e-cig/tetrahydrocannabinol dab pen. Her symptoms rapidly deteriorated and met diagnostic criteria for pediatric acute respiratory distress syndrome. Chest radiograph revealed extensive patchy airspace disease and computed tomography scan showed bilateral ground glass opacities. Bronchoalveolar lavage fluid revealed increased neutrophils, lymphocytosis, but absent eosinophilia. After the results of a comprehensive workup for infectious etiology returned negative, she was diagnosed with hypersensitivity pneumonitis and started on systemic corticosteroids.
Original languageAmerican English
JournalJournal of pediatric intensive care
Early online date28 Nov 2019
DOIs
StatePublished - 28 Nov 2019

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Extrinsic Allergic Alveolitis
Adult Respiratory Distress Syndrome
Pediatrics
Lymphocytosis
Dronabinol
Bronchoalveolar Lavage Fluid
Eosinophilia
Cough
Dyspnea
Glass
Adrenal Cortex Hormones
Neutrophils
Fever
Thorax
Smoking
Tomography
Vaping
Electronic Cigarettes

Keywords

  • hypersensitivity pneumonitis
  • pediatric acute respiratory distress syndrome
  • electronic cigarette

Cite this

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