Lynchburg Journal of Medical Science

Lynchburg Journal of Medical Science


Critical care


Thomas P. Colletti, DHSc, MPAS, PA-C


E-cigarette and Vaping induced lung injury (EVALI) is a current public issue that has been present within the last year. First cases of this were noted starting in the state of Wisconsin and spread throughout the United States with cases totaling greater than 1,000. Patients present with respiratory symptoms including shortness of breath and cough. This disease process is a diagnosis of exclusion and unfortunately, there is no particular diagnostic test that is available. Treatment involves aggressive supportive care with exogenous oxygen therapy and strict fluid balance management; steroids have also been reported to have minimal efficacy. In this case, we observe a 39-year-old man without significant medical history who presents after vaping a week ago with shortness of breath and hypoxemia. He requires aggressive intervention in the intensive care unit, but would eventually progress to the point of being discharged home.


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