Recurrent spontaneous pneumothoraces and vaping in an 18-year-old man: a case report and review of the literature

Bonilla, Alex; Blair, Alexander J.; Alamro, Suliman M.; Ward, Rebecca; Feldman, Michael B.; Dutko, Richard A.; Karagounis, Theodora K; Johnson, Adam L.; Folch, Erik; Vyas, Jatin M.

doi:10.1186/s13256-019-2215-4

Cited by 38 publications

(42 citation statements)

References 41 publications

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“…Second most common diagnosis included either organizing pneumonia/ Bronchiolitis obliterans with organizing pneumonia (BOOP)/ respiratory bronchiolitis (n = 12) [38][39][40][41][42][43][44][45][46] or lipoid pneumonia (n = 9) [11,[47][48][49][50][51]. In 4 cases vaping precipitated a pneumothorax [52][53][54] and in 2 exacerbated pre-existing asthma [55]. Other diagnoses included eosinophilic pneumonia (n = 4) [56][57][58][59], combination of organizing and lipoid pneumonia (n = 3) [40], hypersensitivity pneumonitis (n = 3) [46,60,61], diffuse alveolar hemorrhage (DAH) (n = 1) [62], acute respiratory distress syndrome (ARDS) (n = 1) [63], a combination of ARDS, organizing pneumonia and diffuse alveolar damage (DAD) (n = 1) [64], epiglottitis (n = 1) [65], and a possible EVALI on asthma grounds (n = 1) [46].…”

Section: Classification Of Casesmentioning

confidence: 99%

A Systematic Literature Review of E-Cigarette-Related Illness and Injury: Not Just for the Respirologist

Tzortzi

Kapetanstrataki

Evangelopoulou

et al. 2020

IJERPH

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Following the recent electronic cigarette (e-cigarette) illness outbreak, the current review aimed to collect all related clinical cases for study and analysis and provide a critical synopsis of the proposed injury mechanism. Adhering to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analysis) guidelines, e-cigarette-related clinical cases were identified via Google Scholar and PubMed databases. Additionally, references of published case reports and previous review papers were manually searched, revealing 159 publications presenting e-cigarette-related case reports and 19 reports by the Centers for Disease Control and Prevention. 238 individual cases were identified; 53% traumatic injuries due to e-cigarette explosion or self-combustion, 24% respiratory cases, and 12% poisonings. Additional cases pertained to oral, cardiovascular, immunologic, hematologic, allergic reactions, infant complications, and altered medication levels. Case reports were mainly published between 2016–2019 (78%). The oldest case, a lipoid pneumonia, was published in 2012. The current review showed that e-cigarette-related health effects extend beyond the acute lung injury syndrome, including traumatic, thermal injuries and acute intoxications. Physicians should be aware of the distinct clinical presentations and be trained to respond and treat effectively. Regulators and public health authorities should address the regulatory gap regarding electronic nicotine delivery systems (ENDS) and novel tobacco products.

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Section: Classification Of Casesmentioning

confidence: 99%

A Systematic Literature Review of E-Cigarette-Related Illness and Injury: Not Just for the Respirologist

Tzortzi

Kapetanstrataki

Evangelopoulou

et al. 2020

IJERPH

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“…From 2012 to Aug. 30, 2019 (before publication of the CDC investigation), there were 30 publications [5][6][7][8][9][10][11][12][15][16][17][18][19][20]27,[29][30][31]34,[36][37][38][39][40][41][42][43][44][45][46] identifying a diverse array of vapingassociated pulmonary insults, with varying imaging and pathological findings, but no reported deaths (Table 1). From Sept. 1 to Oct. 30, 2019, an additional 13 publications 13,21,22,26,28,32,33,35,47,[51][52][53][54] were identified through our search strategy (Table 1).…”

Section: Literature Reviewmentioning

confidence: 99%

Life-threatening bronchiolitis related to electronic cigarette use in a Canadian youth

Landman

Dhaliwal

Mackenzie

et al. 2019

CMAJ

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E lectronic cigarettes (e-cigarettes) are the most commonly used nicotine products among Canadian youth; a 2017 study estimated that 272 000 Canadians aged 15 to 24 years had used e-cigarettes in the last 30 days. 1 First available in China in 2004 and in the United States in 2006, 2 e-cigarettes are battery-powered devices that aerosolize various substances for inhalation, including nicotine, tetrahydrocannabinol (THC), cannabidiol and flavouring agents that may contain diacetyl, a compound known to cause pulmonary toxicity. 3 Since its introduction to the North American market, use of e-cigarettes, or "vaping," has continued to rise. 4 Although use of this heavily marketed device is rapidly growing and becoming commonplace in Canada-particularly among youth-the impact of e-cigarettes on health is poorly understood. In recent years, several patterns of adverse reactions to vaping have been reported, including hypersensitivity pneumonitis, 5-8 diffuse alveolar hemorrhage, 9 organizing pneumonia, 10-14 acute eosinophilic pneumonia 15,16 and lipoid pneumonia. 17-21 Most recently, a cluster of 53 cases in the US was described as having hypoxemia and bilateral ground-glass opacities, consistent with a diffuse alveolar damage pattern of lung injury. 22 As of Nov.

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“…Patient observation 2 weeks after removing the tube from the chest confirmed the disappearance of pneumothorax. During the follow-up visit, he reported that he had stopped using all vaping products [13]. The described case is the first regarding the correlation between vaping and recurrent spontaneous pneumothorax.…”

Section: Resultsmentioning

confidence: 80%

Health problem resulting from the use of e - cigarettes

Maziarz

Makarewicz

Kubicka

et al. 2020

J Educ Health Sport

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Introduction: Electric smoking devices called e-cigarettes are gaining more and more popularity nowadays and vaping is becoming more and more fashionable. However their use contributes to the emergence of new health problems like lipoid pneumonia associated with vaporization. Purpose: The purpose of the work is to analyze the advantages and disadvantages of e-cigarettes and to assess the risk of their use compared to traditional forms of smoking. Method: The article is a review of recent publicatopns available in the PubMed database. It was searched on January 20th 2020 with key words 'e-cigarettes', 'vaping', 'health problems'. After analyzing several dozen abstracts, 18 full-text publications were selected for review. Summary: In conclusion: vaping carries the risk of thermal injury and chemical burns caused by damage of the device, it leads to an increase in the number of vaping-addicted youth, and can also cause shortness of breath, chest pain, cough, hemoptysis, nausea, vomiting, diarrhea, abdominal pain, chills, weight loss, fatigue , malaise, headache, fever, tachycardia, tachypnoe, hypoxemia, low white blood cel count, lipoid pneumonia and pneumothorax in users.

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Recurrent spontaneous pneumothoraces and vaping in an 18-year-old man: a case report and review of the literature

Cited by 38 publications

References 41 publications

A Systematic Literature Review of E-Cigarette-Related Illness and Injury: Not Just for the Respirologist

A Systematic Literature Review of E-Cigarette-Related Illness and Injury: Not Just for the Respirologist

Life-threatening bronchiolitis related to electronic cigarette use in a Canadian youth

Health problem resulting from the use of e - cigarettes

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